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: Ajay Yerramsetti, Manju Vijayamohan, Maya Rajan Peter, Pramod Subhas
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/crid/7502566
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author Ajay Yerramsetti
Manju Vijayamohan
Maya Rajan Peter
Pramod Subhas
author_facet Ajay Yerramsetti
Manju Vijayamohan
Maya Rajan Peter
Pramod Subhas
author_sort Ajay Yerramsetti
collection DOAJ
description 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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series Case Reports in Dentistry
spelling doaj-art-c8fc70895b5c4a04ac18cb93bb0750ae2025-01-24T00:00:02ZengWileyCase Reports in Dentistry2090-64552025-01-01202510.1155/crid/7502566Implantoplasty-Aided Prosthetic Rehabilitation for the Management of Peri-Implantitis in Maxilla Reconstructed With Free Fibula Flap: A Clinical ReportAjay Yerramsetti0Manju Vijayamohan1Maya Rajan Peter2Pramod Subhas3Amrita Institute of Medical Sciences and Research CentreDepartment of ProsthodonticsDepartment of PeriodonticsDepartment of Cranio-Maxillofacial SurgeryFor 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.http://dx.doi.org/10.1155/crid/7502566
spellingShingle Ajay Yerramsetti
Manju Vijayamohan
Maya Rajan Peter
Pramod Subhas
Implantoplasty-Aided Prosthetic Rehabilitation for the Management of Peri-Implantitis in Maxilla Reconstructed With Free Fibula Flap: A Clinical Report
Case Reports in Dentistry
title Implantoplasty-Aided Prosthetic Rehabilitation for the Management of Peri-Implantitis in Maxilla Reconstructed With Free Fibula Flap: A Clinical Report
title_full Implantoplasty-Aided Prosthetic Rehabilitation for the Management of Peri-Implantitis in Maxilla Reconstructed With Free Fibula Flap: A Clinical Report
title_fullStr Implantoplasty-Aided Prosthetic Rehabilitation for the Management of Peri-Implantitis in Maxilla Reconstructed With Free Fibula Flap: A Clinical Report
title_full_unstemmed Implantoplasty-Aided Prosthetic Rehabilitation for the Management of Peri-Implantitis in Maxilla Reconstructed With Free Fibula Flap: A Clinical Report
title_short Implantoplasty-Aided Prosthetic Rehabilitation for the Management of Peri-Implantitis in Maxilla Reconstructed With Free Fibula Flap: A Clinical Report
title_sort implantoplasty aided prosthetic rehabilitation for the management of peri implantitis in maxilla reconstructed with free fibula flap a clinical report
url http://dx.doi.org/10.1155/crid/7502566
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