Tetracycline & Er-YAG laser 을 이용한 오염된 임플란트 표면의 처치를 통한 임플란트 주위염의 외과적 치료에 대한 증례보고
A case report: Surgical treatment of peri-implantitis using implant surface decontamination with Tetracycline & Er-YAG laser
정동열, 박세진, 윤재민, 김영택,
소속 상세정보
정동열 ( Jung Dong-Yeol ) - 국민건강보험공단 일산병원 치주과
박세진 ( Park Se-Jin ) - 국민건강보험공단 일산병원 치주과
윤재민 ( Yoon Jae-Min ) - 국민건강보험공단 일산병원 치주과
김영택 ( Kim Young-Taek ) - 국민건강보험공단 일산병원 치주과
KMID : 0362820100290010030
Abstract
Despite high success rates of dental implants, many biological and mechanical complications exist. Peri-implantitis is a chronic infection around dental implants with irreversible crestal bone loss. The aim of this study is to report the various surgical treatment techniques of peri-implantitis using surface decontamination with tetracycline & Er-YAG laser. 3 patients who had peri-implantitis with suppuration were treated with 3 different surgical treatment methods.
－ Pt1 : open flap debridement
－ Pt2 : coronally advanced flap operation with subepithelial connective grafting
－ Pt3 : open flap debridement with alloplast grafting
Tetracycline and Er-YAG laser were used to decontaminate all the implant surfaces.
Clinical parameters such as probing depth(PD), BOP were recorded before surgery and at 3 month follow-up appointment. From the baseline to 3 month follow-up , the mean reduction of probing depth was measured 4mm, 3mm, 3mm, in patient 1, 2, 3, respectively. All patient did not show BOP and suppuration. The findings of this case report suggest that clinical improvements were obtained by surgical treatment using surface decontamination with tetracycline & Er-YAG laser.
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