Dental Education
Online Dental Education Dental education lectures and videos Online dental ce Dental education articles Expert dental educators Dental products education Dental Community
 
Dental Publication / Article Details

Management of Retrograde Peri-Implantitis by Apical Resection and Guided Bone Regeneration in Adjacent Maxillary Implants Management of Retrograde Peri-Implantitis by Apical Resection and Guided Bone Regeneration in Adjacent Maxillary Implants

Author(s):

Monish Bhola, DDS, MSD;Tamika N. Thompson-Sloan; Shilpa Kolhatkar

Date Added:

10/31/2013


Summary:

Retrograde peri-implantitis (RPI) is defined as a clinically symptomatic periapical lesion that develops shortly after implant insertion while the coronal portion of the implant sustains a normal bone-to-implant interface. A 61-year-old male was screened and evaluated for three maxillary anterior implants placed 10 years previously. Evaluation included a thorough periodontal and dental exam, radiographs, and cone-beam computed tomography. Probing depths around all implants ranged from 2 to 4 mm with no bleeding on probing/mobility. The apices of implants #8 and #9 exhibited radiolucencies, and a draining fistula was associated with implant #8. Treatment consisted of sectioning and removal of the affected portion of the implants and collection of a specimen for histopathologic examination. Resection of the apical portion of implants is a viable treatment modality in the management of RPI.

Related Articles
Linear Tomography in Conjuction with Pantomography in Implant Assessmnet Sites

Linear Tomography in Conjuction with Pantomography in Implant Assessmnet Sites
Tomography provides a three-dimensional unobstructed and anatomically accurate picture of the region being viewed. Tomography is a radiographic technique in which a "slice" or section of a given internal body structure is imaged in a pre-determined plane. The advantage of utilizing a tomographic evaluation along with a pan tomographic survey is that the clinician may examine the exact position or depth in all three planes of visualization. This radiographic modality can also reveal the quality and…

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD;Roger W. Melkonian, DDS, David Kurtzman, DDS, Jerry J. Garnick, DDS, Michael D. Lefkove, DDS
View Article>>
Smoking and Complications of Endosseous Dental Implants

Smoking and Complications of Endosseous Dental Implants
Titanium endosseous implants have been increasingly used in various edentulous situations for well over a decade. Cigarette smoking has long been suspected as adversely affecting wound healing. Arteriolar vasoconstriction and decreased blood flow are seen in response to smoking. In the oral cavity,an increase in plaque accumulation,a higher incidence of gin-givitis and periodontitis,a higher rate of tooth loss,and an increased resorption of the alveolar ridge have been found among smokers.

Author(s): Devorah Schwartz-Arad, DMD, PhD;Naama Samet, Nachum Samet, and Avi Mamlider
View Article>>
Comprehensive Management of Implant Anchorage in the Multidisciplinary Patient

Comprehensive Management of Implant Anchorage in the Multidisciplinary Patient
In recent years, dental implants have become an accepted method of replacing missing teeth. Today millions of implants are placed annually to rehabilitate and reestablish patients’ occlusions. However, in many of these individuals, the teeth may be in less than ideal position to accept the integration of single implants or groups of implants with the remaining teeth. Many of these patients could benefit from orthodontics to reposition malposed teeth to enhance the overall occlusal scheme. However,…

Author(s): Vincent G. Kokich, Sr., DDS, MSD
View Article>>
Related Videos
Steps to Implant Dentistry Premium Member Content

Steps to Implant Dentistry
In most implant courses, they will talk about how you can do and what you need to do, but they should talk about who you need to be at first, moreover, methods and instructions are secondary; self development is primary to enter to the implant dentistry era, in this presentation Dr Dowlatsahi will talk about how you can prepare yourself and your teams for starting and developing your implant practice, then he will present an overview on treatment planning, sequence of treatment, case selection and assessment for an optimum implant treatment.

Presented By:: Maziar Shahzad Dowlatshahi, DDS, MSc
Presentation Style: Video
Community Rating:
 
Watch Now>>
Full Mouth Rehabilitation: Clinical Overview a Systematic Approach Premium Member Content

Full Mouth Rehabilitation: Clinical Overview a Systematic Approach
Full mouth rehabilitation is a complex subject that requires the clinician to resurrect broken and mutilated dentitions. Armed with a thorough understanding of the disease process to enable an accurate diagnosis and risk assessment that will enable a conservative treatment approach is the need of the hour. This presentation aims to take the audience through a systematic approach towards this subject and empower them with a vision that will enable them to set up the case to end it well with accurate form, predictable function and superior esthetics!

Presented By:: Ali Tunkiwala, MDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Step-By-Step Surgical Video of Horizontal and Vertical Defects - Part 2 of 2 Premium Member Content

Step-By-Step Surgical Video of Horizontal and Vertical Defects - Part 2 of 2
Emphasis will be placed on the benefits of the augmentation technique on revascularization: the use of autologous bone grafts on a scaffold of xenograft material saturated in PRP (Platelets Rich Plasma), covered with PPP (Platelets Poor Plasma). Soft tissue manipulation with role-up technique is demonstrated prior to implants placement.
Six months after implants placement, the second phase of uncovering is shown.

Presented By:: Devorah Schwartz-Arad, DMD, PhD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Horizontal Augmentation Through the Ridge-Split Procedure: A Predictable Surgical Modality in Implant Reconstruction Premium Member Content

Horizontal Augmentation Through the Ridge-Split Procedure: A Predictable Surgical Modality in Implant Reconstruction
The need for an adequate alveolar ridge width has been a long-standing principle in pre-prosthetic surgery. Since the introduction of root-form endosseous dental implants, the necessity of proper alveolar ridge width has become essential. In this presentation, the author concentrated on the ridge-split procedure (RSP) as a form of a ridge modification (widening or augmentation), the technique that offers many possibilities and has many advantages in oral pre-prosthetic implant reconstruction. There are many modifications of the RSP. This presentation is a description of classical ridge-split procedure in maxilla and mandible that has been successfully employed for many years in author’s surgical practice.

Presented By:: Len Tolstunov, DDS, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Credit)
Watch Now>>
Esthetic Management for Compromised Extraction Sites - Part 2 of 2 Premium Member Content

Esthetic Management for Compromised Extraction Sites - Part 2 of 2
Missing soft tissue is the main reason for compromised results in the aesthetic zone. But since the soft tissue has to be supported by a sufficient amount of bone, our focus has also to be on bone. Due to the fact that no bone-preservation technique (at the time of tooth extraction) available today, gives us the perfect result we need, augmentation procedures are still needed. Appropriate bone and soft tissue engineering in all three dimensions enhances the aesthetic performance of long-lasting restorations that blend in well and emerge from the periimplant sulcus in harmony with the neighboring teeth.

Presented By:: Ueli Grunder, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Immediate Implants: Science and Art - Part 1 of 2 Premium Member Content

Immediate Implants: Science and Art - Part 1 of 2
By scientific studies produced in recent years has been confirmed, in selected cases, the validity of the post-extraction implants. The use of this method implies a lower emotional impact, a single surgery and a healing often better for the patient.We will be discussed traumatic extraction methods, perfect insertion of the implants with or without bone regeneration with bone substitutes and membranes and the opportunity to combine an advanced method as immediate implant with the execution of an immediate loading to restore aesthetics in more complex cases.

Presented By:: Alfonso Coscarella, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Download Now

Important!

To view this dental publication or article, you must be a registered user of Dental XP. If you are already a member, click here to login.

Registration is free and only takes several minutes. Dental XP will never spam you, or sell your information.

Join For Free







Contact Us | Privacy Policy | Terms of Use
©2021

Preferred Language: English Flag
Contact Us · Login · Register