Open Flap Debridement Protocol as a Treatment of Peri-Implantitis: A 3-Year Follow-up Case Series

Clinical view of the initial aspect of the region with peri-implantitis.

Radiographic view of implants with peri-implantitis.

Opening a mucoperiosteal flap to access the region and provide the decontamination of the area.

(a) Exposure of granulation tissue and implant threads. (b) Aspect after granulation tissue removal.

Debridement of implants with Teflon curettes (Implacare, Hu-Friedy).

Use of a sodium bicarbonate-based abrasive air powder jet (JetFlex I, Dentflex).

Polishing of implants with a rubber cup and polishing paste.

Irrigation with chlorhexidine 2%.

Repositioned tissues and suture made.

Clinical view of the region after suture removal.

Radiographic view of the region after 3 years of surgical treatment.

Clinical view of the treated region after 3 years of treatment.
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