How to Properly Decontaminate Infected Implantitis Defects

November 15, 2020 / 9:00 - 10:00 am

Program Track: Treatment of Periodontal Diseases and Peri-Implant Diseases

In managing the intrabony defects associated with peri-implantitis lesions, the clinician is often faced with tortuous, complex defects. Given that the vast majority of peri-implantitis sites (79%) displayed a combined defect configuration, combination therapy was introduced to treat sites with advanced peri-implantitis. A multiplicity of treatment approaches exists in terms of decontamination, stabilization and regeneration. Both degranulation and implant surface decontamination are essential for successful treatment of periimplantitis. Different approaches to both decontamination and treatment will be explored. This presentation will explore the unique properties of the Erbium wavelength in preparing both the implant surface and the osseous intrabony defect for regenerative therapy. Applicable literature will be reviewed as well as case studies demonstrating case selection, technique and materials. Additionally, implantoplasty, mechanical modification of the implant surface, will be discussed in great detail, both at implant sites where bone regeneration may not be expected (i.e., supracrestally [>1 mm] and buccally exposed implant parts) as well as sites that exhibit regenerative potential. Smoothened implant surfaces have been proven to be less prone to plaque accumulation and thus, re-infection.

Educational Objectives:

• Discover the etiologic theories associated with inflammatory bone loss around dental implants.
• Develop a laser de-contamination protocol for expanding the periodontist’s scope of treatment
• Discuss the application and rational for performing implantoplasty
• Learn how to incorporate techniques for achieving the resolution of peri-implantitis