
Peri-implantitis treatment with GalvoSurge®
Single implant, closed healing
Dr. Stefan Scherg
Germany

Patient: 42-year-old male, nonsmoker, no history of periodontitis, implant placed 3 years ago.
Clinical situation: Single implant in FDI tooth position 36. Crater-like bone defect, RP classification 1(-2), with 6 mm bone loss due to advanced peri-implantitis. Visual signs of inflammation, PPD of 8 mm, BoP. The patient wants to keep the implant because it is relatively new.
Treatment plan: Removal of the prosthesis, presurgical periodontal and anti-infective therapy and placement of a cover screw 2 weeks before the surgical intervention. Due to the position of the implant close to the mandibular nerve, block anesthesia was sed (Articain, 1.8 ml). In surgery, the opening of a full-thickness flap, removal of the granulation tissue with curettes, no hard deposits to be removed, and removal of the biofilm using the GalvoSurge Dental Implant Cleaning System. Placement of a cover screw. Guided bone regeneration using bovine bone mineral (creos™ xenogain) and collagen membrane (creos™ xenoprotect). Medication with antibiotics (Augmentan 875/125mg 1-0-1). Closed healing for 3 months. Placement of a healing abutment 3 months after surgery, and placement of the existing prosthesis (cleaned and sterilized) 4 months after surgery.
Patient follow-up: After surgery, the patient was medicated with Amoxicillin with Clavulanic acid for 7 days and ibuprofen 600 mg. After 12 days the sutures were removed. 3 months after the surgery a healing abutment was placed, 4 months after surgery the final prosthesis was placed. Patient follow-up every 6 months.
Surgery date: March 9, 2019
Total treatment time: 6 months
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GalvoSurge®
GalvoSurge® Dental Implant Cleaning System
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creos™ xenogain
3 methods of application to meet all your bone grafting needs.
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creos™ xenoprotect
A membrane with outstanding handling that facilitates bone gain.
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