Treatment of Peri-Implantitis

1 Hour 32 Minutes

Sunday, Oct. 28
10:45 a.m. - 12:15 p.m.

Program Track: Treatment of Periodontal Diseases and Peri-Implant Diseases
Moderators: Bill Akin and Yorimasa Ogata 
Speakers: Paul Fletcher and Ryuboku Torikata

This presentation will offer an evidenced based protocol for the treatment of peri-implantitis. A novel flapless, minimally-invasive surgical technique utilizing sterile saline and antiseptics will be demonstrated. Human histologic evidence of re-osseointegration will be presented.

With the goal of debridement, sterilization, and LPS detoxification of the implant, the laser method utilizes micro-explosions to obtain re-osseous-integration with no damage to the implant surface.  

Educational Objectives:

  • Explain the rationale for and be able to institute an evidence based in office and at home treatment regimen for the management of mucositis.
  • Comprehend how to perform a flapless, minimally-invasive surgical technique to achieve infrabony bone fill and reduce pocketing around a peri-implantitis affected implant.
  • Observe clinical examples of a regenerative open flap surgical procedure, using sterile saline and antiseptics for surface decontamination, where re-osseointgration has been achieved and confirmed by human histology.
  • Discuss the biologic requirements for re-osseointegration in the treatment of peri-implantitis.
  • List the advantages, indications, and limitations of applying different types of lasers, saline solution, and other chemicals in the decontamination of dental implant surfaces.

Review scientific evidence supporting various implant surface decontamination protocols and clinical results.

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