Editorial Type:
Article Category: Case Report
 | 
Online Publication Date: 01 Feb 2016

Treatment of Refractory Apical Peri-Implantitis: A Case Report

DDS, PhD,
DDS, and
DDS, PhD
Page Range: 104 – 109
DOI: 10.1563/aaid-joi-D-13-00268
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  <sc>igure 1</sc>
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F igure 1

Preoperative computerized tomography image of edentulous site #10.


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F igures 2–4

Figure 2. Clinical appearance of sinus tract at the apical region of implant. Figure 3. Computerized tomography image of the periimplant apical lesion. Figure 4. Panoromic radiograph showed a radiolucency at the apical portion of the implant.


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F igures 5–8

Figure 5. Granulation tissue at the apex of the implant. Figure 6. Bone defect and exposed implant apex after the curettage of the lesion. Figure 7. Cortico-cancellous graft mixed with tertacycline powder. Figure 8. Collagen membrane covered the defect area.


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F igure 9

Recurrent apical lesion extended to adjacent canine tooth.


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F igures 10–15

Figure 10. Apex of the implant resected with diamond burs under sterile saline irrigation. Figure 11. Defect filled with graft + platelet-rich fibrin mixture. Figure 12. Shaped platelet-rich fibrin membrane placed over the collagen membrane. Figure 13. The clinical view, at the 6-month control appointment, showed no sign of infection. Figure 14. Postoperative periapical radiograph (sixth month). Figure 15. Panoromic radiograph (first year control appointment).


Contributor Notes

Corresponding author, e-mail: ttozum@icloud.com
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