Surgical Solutions - March-May 2017 - 39

IMPLANT MAINTENANCE
fixed full arch reconstruction. Probing
pocket depths were of the order
of 8-9mm around 3 of the anterior
implants. The distal implants had
normal probing depths. CBCT imaging
revealed an intrabony component
of 6.1mm for the implant in the 43
position, 4.2mm at the 41 implant and
3.1 at the 33 implant.
A prepatory phase was carried
out, including assessment of oral
hygiene and non-surgical implant
decontamination in 1 session. After 6
weeks, the patient underwent surgical
treatment. This comprised of full
thickness mucoperiosteal flaps being
raised, and the chronic inflammatory
tissue removed from the defects around
the 3 implants with the use of teflon
curettes. The implant surface was then
decontaminated by Air-flow using an
erythritol powder. The implants were
also irrigated and cleansed with salinesoaked cotton foam.

A crater shaped defect was present
around all the implants at the proximal
and lingual surfaces, however the
implants had a dehiscence on the
buccal aspect. The craters were filled
to cover the defects. Lastly the flaps
were repositioned and secured with
mattress and sling sutures. Systemic
antibiotics were administered
post-operatively.
Clinical parameters and radiographic
examinations were performed at 3 and
6 months. At both intervals, there was
resolution of the clinical parameters for
all 3 implants, including plaque index,
bleeding on probing and probing
pocket depth. At these visits,
non-surgical maintenance was
carried out, including oral hygiene
reinforcement and removal of biofilm
via EMS Air-flow.

Jeremy Vo lectures & gives hands-on workshops focused
on periodontitis and periimplant diseases for EMS' SWISS
DENTAL ACADEMY.
To book a place or for more information visit henryschein.
com.au/eventsandeducation
For more information on EMS & EMS
AIR-FLOW technology follow EMS Australia & New Zealand
on Facebook. Scan the code below or visit:
facebook.com/emsausnz

Dr Jeremy Vo
Dr. Vo obtained his BDS dental
degree from the University of
Adelaide. He then went on to
receive a Doctor of Clinical
Dentistry in Periodontics from the
University of Sydney, registering as
a Specialist Periodontist with the
dental board of Australia. Following
completion of his degrees, he was
also awarded membership into
the prestigious Royal Australasian
College of Dental Surgeons.
Putney Periodontics
5B/227 Morrison Rd Ryde Sydney
2112
Periodontics and Dental Implants
Suite 1404 Tower 1, 520 Oxford St
Bondi Junction 2022

Fig 3 Sequence of surgical therapy. (a) Flap elevation revealing chronic inflammatory tissue. (b) Debridement and decontamination of
implant surface. (c) Defects filled and covered and mucoperiosteal flaps are repositioned and sutured.

Fig 4 Post-operative intra-oral photograph at 6 months
after therapy

Fig 5 Post-operative radiographs at 3 months
after therapy

For article references please refer to:
http://henryschein.com.au/Documents/PDFs/References-to-article-surgical-management-of-peri-implantitis.pdf

Orders

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http://www.henryschein.com.au/eventsandeducation http://www.henryschein.com.au/eventsandeducation http://www.facebook.com/emsausnz http://henryschein.com.au/Documents/PDFs/References-to-article-surgical-management-of-peri-implantitis.pdf

Table of Contents for the Digital Edition of Surgical Solutions - March-May 2017