Implantoplasty-Aided Prosthetic Rehabilitation for the Management of Peri-Implantitis in Maxilla Reconstructed With Free Fibula Flap: A Clinical Report
For managing peri-implantitis, a variety of treatment modalities involving both surgical and nonsurgical methods including implantoplasty have been proposed. Implants that are placed in a free fibula flap are more prone to peri-implantitis due to the absence of firm, keratinized mucosa. Prosthetic d...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2025-01-01
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| Series: | Case Reports in Dentistry |
| Online Access: | http://dx.doi.org/10.1155/crid/7502566 |
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| Summary: | For managing peri-implantitis, a variety of treatment modalities involving both surgical and nonsurgical methods including implantoplasty have been proposed. Implants that are placed in a free fibula flap are more prone to peri-implantitis due to the absence of firm, keratinized mucosa. Prosthetic design that offers adequate hygiene access should be designed whenever possible; otherwise, it may lead to the accumulation of plaque or biofilm that may lead to peri-implant diseases. Implantoplasty, which is performed in advanced peri-implantitis cases that cause exposure of implant threads, has been proposed as a reliable approach to preventing progressive peri-implant bone loss by modifying the exposed implant surface. This clinical report details the management of severe peri-implant bone loss in a maxilla reconstructed with a free fibula flap by combining soft tissue management, implantoplasty, and prosthetic rehabilitation. |
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| ISSN: | 2090-6455 |