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Peri-implantitis: All You Want (or not) To Know

Course Number: 680

Surgical Treatment

Following the completion of non-surgical peri-implant therapy, peri-implant re-evaluation should be performed in 4–6 weeks to determine the magnitude of improvement. For non-responsive sites especially in advanced peri-implantitis, surgical interventions may be necessary to further eradicate the residual disease. The surgical interventions include, but not limited to, traditional open flap debridement with or without resective surgery, contemporary peri-implant guided bone regenerative therapy or combination of both modalities.4,7,18

Surgical interventions including resective surgery and guided bone regeneration-supported reconstructive therapy for peri-implantitis-related bone defects implementing bone substitutes may lead to good clinical outcomes in terms of resolution of bleeding scores, probing pocket reduction, improved radiographic bone levels, and soft tissue height maintenance.4,7,18

ce680 - Images - Figure 9

Figure 9. Resective surgery

ce680 - Images - Figure 10

Figure 10. Guided bone regeneration.