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Case Report
Multiprotocol treatment modality in chronic peri-implantitis utilizing decontaminating, single phase bio-ceramic and autologous fibrin matrix
1 Member of University College of London, London, England; CEO and Practitioner in Oral and Maxillofacial Surgery, Clitrofa, Trofa, Portugal
2 Scientific Director, Implant Dentistry Department at Santa Casa da Misericordia, Rio de Janeiro, Brazil; Private practice in Oral and Maxillofacial Surgery at Ipanema, Rio de Janeiro, Brazil
3 Researcher of Nucleus of Applied Research in Morphology and Immunology, University of Brasilia, Brasilia, Federal District 70910- 900, Brazil
Address correspondence to:
Leonel Alves de Oliveira
Instituto Rioli de Reabilitação Oral, QNM 34 AE 01 JK Shopping Sala 2601, Taguatinga, DF, CEP 72145-450,
Brazil
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Article ID: 100044Z07FD2023
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Duarte FMP, de Almeida FLD, de Oliveira LA. Multiprotocol treatment modality in chronic peri-implantitis utilizing decontaminating, single phase bio-ceramic and autologous fibrin matrix. J Case Rep Images Dent 2023;9(1):1–6.ABSTRACT
Introduction: Peri-implant diseases are defined as pathological inflammatory reactions in the tissue surrounding osseointegrated implants. They are classified into two categories: mucositis—defined as peri-implant soft tissue inflammation and peri-implantitis—bone loss in the peri-implant region.
Case Report: A clinical case of a 61-year-old woman with an implant in the 46 anatomical position presented with peri-implantitis after a 5-year follow-up. A probe depth of 5 mm and a bone defect length of 35% was observed. The Implacure Protocol was applied, with the main objective of eliminating the biofilm present on the exposed implant surface. There are multiple approaches to treat peri-implant diseases. While non-surgical treatment is essentially sufficient for mucositis control, the treatment in most cases of peri-implantitis should be surgery. Regenerative bone reconstruction promotes bone repair in the defect area and reduces bleeding during probing. To achieve that, autologous fibrin combined with Cerasorb M was used.
Conclusion: The proposed approach in the presented clinical case involves the application of Implacure Protocol, whose combination of the physical decontamination technique, together with the use of chlorhexidine and orthophosphoric acid, added with the combination Piperacillin + Tazobactam together with hyaluronic acid, provided a base that allows to regenerate bone using platelet-rich fibrin with Cerasorb M and increase the implant survival time.
Keywords: Decontaminating, Peri-implantitis, Platelet-rich fibrin, Regenerative protocol
SUPPORTING INFORMATION
Author Contributions:
Fernando Manuel Pinto Duarte - Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Fernando Luiz Duarte de Almeida - Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Leonel Alves de Oliveira - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2023 Fernando Manuel Pinto Duarte et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
