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| 4/10/2013 4:03:48 AM | md alam | | Perio-Implantitis and Severe Bone Loss | | first and most important thing before we try to any thing is to check out any discrepency with the occlusion.
Treatment option 1- if there would also be some mobility the management would be like intially removal of crown and accessing the implant site, completely debridment to the base of the defect. using a torque ratchet upto 35 N insert the implant upto 2 to 4 threads and check weather the implant stabilise. if then pack the rest with graft using prf and using the implant hex surface place a membrane, and close. wait for the results, it should heal with regeneration in 4to 6 month final prosthesis can be done.
Treatment option 2: if stable implant splint to adjacent tooth to prevent any kind of micro movements , open up the surface and debride deep medicate the surface using metronidazole to reduce infection take the serum of the prf gel using a sterile brush apply over the implant surface and pack with graft and prf mix upon the implant platform place a membrane and tighten the cover screw to stabilize the membrane. healing time 6 months. regularly follow the patient with radiograph. thank you.... nazish alam (dr.naz.ish.alam@gmail.com) | | Register For Free To Reply |
| 12/4/2012 8:02:03 PM | Barry Rimmer | | Perio-Implantitis and Severe Bone Loss | | Has anyone tried Tigran brush with tigran ptg? I have used the latter for bone grafting with good results:-
http://www.tigran.se/uploads/media/Tigran_PTG_for_bone_regeneration_and_implant_osseointegration_2010.pdf_01.pdf | | Register For Free To Reply |
| 7/13/2012 2:38:35 PM | THEO ODYSSEOS | | Perio-Implantitis and Severe Bone Loss | | what is the succes of gbr on contaminated implants?, and what is the succes for 2 new implants?long term , iwould reccomend 2 new implants placed next(distal) to the infected(first extraction and after healing,implant placement) impants.the best treament for the benefit of the patient, would be the least invesive and the most promissing and not the desire of the pt.we need to respect the desire but we need to inform them about the % of succes. | | Register For Free To Reply |
| 6/30/2012 8:01:07 PM | mike davis | | Perio-Implantitis and Severe Bone Loss | | Clean out defect as thoroughly as possible. Intramarrow penetrations. Betadine into defect for 5 minutes. Mix pdgf with FDB. Use this combination to graft the defect. | | Register For Free To Reply |
| 6/30/2012 7:07:10 PM | Joao Palmieri | | Perio-Implantitis and Severe Bone Loss | | Have you any suspicious of occlusion causes? | | Register For Free To Reply |
| 6/27/2012 10:56:35 PM | Sam Busich | | Perio-Implantitis and Severe Bone Loss | | How best to treat the defect and DETOXIFY implant?
What best to regenerate the bone? Bone Graft? Bioactivity?
Sam
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| 6/29/2012 5:04:11 PM | Maurice Salama | | Perio-Implantitis and Severe Bone Loss | | Tetracycline for disinfection, lasers for detoxicification and then bone graft, PRGF, and collagen membrane....Brad too large a defect I think to do LANAP or LAPIP as they now call it without a FLAP??? Do you agree?
Dr. S
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| 6/29/2012 5:03:14 PM | Sam Busich | | Perio-Implantitis and Severe Bone Loss | | Tetracycline for disinfection, lasers for detoxicification and then bone graft, PRGF, and collagen membrane....Brad too large a defect I think to do LANAP or LAPIP as they now call it without a FLAP??? Do you agree?
Dr. S | | Register For Free To Reply |
| 6/27/2012 4:44:57 PM | bradford klassman | | Perio-Implantitis and Severe Bone Loss | | Mo...cases like this are tough! I have been using the principles of LANAP to treat my periimplantitis cases....Craig Hescheles in FLA has had some amazing results with significant bone fill!!! George Romanos has had good success with other lasers as well.. Might be a good place to start... Noninvasive before moving forward with extensive regenerative surgery... | | Register For Free To Reply |
| 6/27/2012 3:51:42 PM | Maurice Salama | | Perio-Implantitis and Severe Bone Loss | | Mandibular Anterior Implants after 5 yrs of loading present with severe pocketing, abscess and bone loss.
Classic periodontal disease around implants but they remain stable and supporting the prosthesis.
Ideas about best approach in this situation?
Patient desires to save implants and bridge if possible.
Thanks Dr. Salama | | Register For Free To Reply |
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