Guided bone regeneration as a form of treatment for periimplantitis: Case report

Authors

DOI:

https://doi.org/10.33448/rsd-v13i4.45358

Keywords:

Implant; Periimplantitis; Osseointegration; Rehabilitation.

Abstract

Objective: The objective of the present study is to report a clinical case of peri-implantitis in which the lack of oral hygiene represented a decisive factor in the loss of one of the previously installed implants. Method: This is a case study, using a qualitative approach, as the object of study is the result and element under investigation. Results and Discussion: After undergoing an implant, the patient developed an infection with purulent secretion in the peri-implant region, after the procedure, the patient sought the service complaining of pain, follow-up was carried out and subsequently cleaning procedures with antiseptic and after Integrated Bone Regeneration (ROG), there was loss of a tooth and reversal of the inflammatory process. Conclusion: Incomplete surface decontamination appears to be the biggest obstacle to new bone formation on the previously exposed surface of the implant. From what was observed, it can be concluded that biofilm control maintains the health of the soft tissue-implant interface, and there is a relationship between the presence of biofilm and inflammation of the tissues around the implants.

References

Belibasakis, G. N. & Manoil, D (2021). Microbial Community-Driven Etiopathogenesis of Peri-Implantitis. J. Dent. Res., (100, 21–28). https://pubmed.ncbi.nlm.nih.gov/32783779/

Dubinkina, V., Fridman, Y., Pandey, P. P., & Maslov, S. (2019) Multistability and regime shifts in microbial communities explained by competition for essential nutrients. eLife (8, e49720). https://elifesciences.org/articles/49720

Herrera, D., Berglundh, T., Schwarz, F., Chapple, I., Jepsen, S., Sculean, A., Kebschull, M., Papapanou, P. N., Tonetti, M. S., Sanz, M., et al. (2023) Prevention and treatment of peri-implant diseases-The EFP S3 level clinical practice guideline. J. Clin. Periodontol. 50 (S26), 4–76. https://pubmed.ncbi.nlm.nih.gov/37271498/

Holde, G. E., Jonsson, B., Oscarson, N., & Muller, H. P. (2020) To what extent does smoking affect gingival bleeding response to supragingival plaque? Site-specific analyses in a population-based study. J. Periodontal Res, 55, 277–286. https://onlinelibrary.wiley.com/doi/pdf/10.1111/jre.12713#:~:text=To%20what%20extent%20does%20smoking%20actually%20affect%20gingival%20bleeding%20re,covered%20sites%20in%20non%2Dsmokers.

Jansson, L., Lundmark, A., Modin, C., Abadji, D., & Yucel-Lindberg, T. (2021) Intra-individual cytokine profile in peri-implantitis and periodontitis: A cross-sectional study. Clin. Oral Implants Res., (32, 559–568). https://pubmed.ncbi.nlm.nih.gov/33595852/

Jung, J., Ryu, J. I., Shim, G. J., & Kwon, Y. D. (2023) Effect of agents affecting bone homeostasis on short- and long-term implant failure. Clin. Oral Implants Res. 34 (Suppl. S26), 143–168. https://pubmed.ncbi.nlm.nih.gov/37750523/

Khazaei, T., Williams, R. L., Bogatyrev, S. R., Doyle, J. C., Henry, C. S., & Ismagilov, R. F. (2020) Metabolic multistability and hysteresis in a model aerobe-anaerobe microbiome community. Sci. Adv. 6, eaba0353. https://www.science.org/doi/10.1126/sciadv.aba0353

Li, J., Feng, K., Ye, L., Liu, Y., Sun, Y., & Wu, Y. (2022) Influence of radiotherapy on dental implants placed in individuals before diagnosed with head and neck cancer: Focus on implant-bed-specific radiation dosage. Clin. Oral Investig., 26, 5915–5922. https://link.springer.com/article/10.1007/s00784-022-04549-z

Li, Y., Lu, Z., & Sun, H. (2023) Impact of diabetes mellitus on the poor prognosis in patients with osseointegrated dental implants: A meta-analysis of observational studies. Biotechnol. Genet. Eng. Rev, 1–19. https://pubmed.ncbi.nlm.nih.gov/36876980/

Lorenzo-Pouso, A.I., Bagan, J., Bagan, L., Gandara-Vila, P., Chamorro-Petronacci, C. M., Castelo-Baz, P., Blanco-Carrion, A., Blanco-Fernandez, M.A., Alvarez-Calderon, O., Carballo, J., et al. (2021) Medication-related osteonecrosis of the jaw: A critical narrative review. J. Clin. Med, 10, 4367. https://pubmed.ncbi.nlm.nih.gov/34640383/

Mangal, U., Noh, K., Lee, S., Cha, J. K., Song, J. S., Cha, J. Y., Lee, K. J., Kim, K. M., Kwon, J. S., & Choi, S. H. (2023) Multistability and hysteresis in states of oral microbiota: Is it impacting the dental clinical cohort studies? J. Periodontal Res, (58, 381–391).

Mattheos, N., Vergoullis, I., Janda, M., & Miseli, A. (.2021) The implant supracrestal complex and its significance for long-term successful clinical outcomes. Int. J. Prosthodont (34, 88–100). https://onlinelibrary.wiley.com/doi/abs/10.1111/jre.13098

Monje, A., Pons, R., Amerio, E., Wang, H.L., & Nart, J. (2022) Resolution of peri-implantitis by means of implantoplasty as adjunct to surgical therapy: A retrospective study. J. Periodontol. (93, 110–122). https://pubmed.ncbi.nlm.nih.gov/33904175/

Neckel, N., Wagendorf, P., Sachse, C., Stromberger, C., Vach, K., Heiland, M., & Nahles, S. (2021) Influence of implant-specific radiation doses on peri-implant hard and soft tissue: An observational pilot study. Clin. Oral Implants Res, 32, 249–261. https://pubmed.ncbi.nlm.nih.gov/33278849/

Ng, E., Tay, J. R. H., Balan, P., Ong, M. M. A., Bostanci, N., Belibasakis, G. N., & Seneviratne, C. J. (2021) Metagenomic sequencing provides new insights into the subgingival bacteriome and aetiopathology of periodontitis. J. Periodontal Res, (56, 205–218). https://www.creative-biolabs.com/immuno-oncology/shotgun-metagenomic-sequencing-mgs-for-gutmicrobiota-genomics-analysis.htm

Pasquel, F. J., Lansang, M. C., Dhatariya, K., & Umpierrez, G. E. (2021) Management of diabetes and hyperglycaemia in the hospital. Lancet Diabetes Endocrinol. , (9, 174–188). https://pro.novonordisk.com/products/digital-health/dose-check.html?congress_id=attdu&cid=pse-0owlbjvfam&gad_source=1&gclid=EAIaIQobChMI_cLWlsyohQMVSFlIAB1DzQQ4EAAYASAAEgIEhPD_BwE

Reis, I., do Amaral, G., Hassan, M. A., Villar, C. C., Romito, G. A., Spin-Neto, R., & Pannuti, C. M. (2023) The influence of smoking on the incidence of periimplantitis: A systematic review and meta-analysis. Clin. Oral Implants Res. (, 34, 543–554). https://pubmed.ncbi.nlm.nih.gov/36939434/

Schwarz, F., Derks, J., Monje, A., & Wang, H. L. (2018) Peri-implantitis. J. Periodontol, 89 (Suppl. 1), S267–S290.

Silva, D. N. A., Casarin, M., Monajemzadeh, S., Bezerra, B. B., Lux, R., & Pirih, F. Q. (2022,) The Microbiome in Periodontitis and Diabetes. Front. Oral Health (3, 859209). https://www.hindawi.com/journals/agmr/?utm_source=google&utm_medium=cpc&utm_campaign=HDW_MRKT_GBL_SUB_ADWO_PAI_KEYW_JOUR_AGMR_GENPH&gad_source=1&gclid=EAIaIQobChMI_Pe4gc2ohQMVyiCtBh1HUwXwEAAYASAAEgJRCvD_BwE

Tempesta, A., Capodiferro, S., Mauceri, R., Lauritano, D., Maiorano, E., Favia, G., & Limongelli, L. (2022). Peri-implantitis-like medication-related osteonecrosis of the jaw: Clinical considerations and histological evaluation with confocal laser scanning microscope. Oral Dis. (28, 1603–1609). https://pubmed.ncbi.nlm.nih.gov/33844402/

Thu, M. K., Kang, Y. S., Kwak, J. M., Jo, Y. H., Han, J. S., & Yeo, I. L. (2023). Comparison between bone-implant interfaces of microtopographically modified zirconia and titanium implants. Sci. Rep. (13, 11142). https://www.nature.com/articles/s41598-023-38432-y

Wagner, J., Spille, J. H., Wiltfang, J., & Naujokat, H. (2022) Systematic review on diabetes mellitus and dental implants: An update. Int. J. Implant Dent, (8, 1). https://pubmed.ncbi.nlm.nih.gov/34978649/

Wolf, F., Spoerl, S., Gottsauner, M., Klingelhoffer, C., Spanier, G., Kolbeck, C., Reichert, T. E., Hautmann, M. G., & Ettl, T. (2021,) Significance of site-specific radiation dose and technique for success of implant-based prosthetic rehabilitation in irradiated head and neck cancer patients—A cohort study. Clin. Implant Dent. Relat. Res. (23,444–455). https://pubmed.ncbi.nlm.nih.gov/33949108/

Yi, Y., Koo, K. T., Schwarz, F., Ben Amara, H., & Heo, S. J. (2020) Association of prosthetic features and peri-implantitis: A cross-sectional study. J. Clin. Periodontol, (47, 392–403). https://pubmed.ncbi.nlm.nih.gov/31912511/

Zhang, Y., Niazi, S.A., Yang, Y., Wang, Y., Cao, X., Liu, Y., Li, Y., & Zhou, Q. (2022,) Smoking by altering the peri-implant microbial community structure compromises the responsiveness to treatment. Front. Cell. Infect. Microbiol. (12, 1040765). https://pubmed.ncbi.nlm.nih.gov/36310860/

Published

13/04/2024

How to Cite

TARDELLI, J. P. de B. .; MELO , A. T. G. de .; FRANCESCHINI NETO, F. .; SILVA, E. S. C. da .; FARIAS, N. de O. . Guided bone regeneration as a form of treatment for periimplantitis: Case report. Research, Society and Development, [S. l.], v. 13, n. 4, p. e3813445358, 2024. DOI: 10.33448/rsd-v13i4.45358. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/45358. Acesso em: 21 nov. 2024.

Issue

Section

Health Sciences