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Regenerative procedure using rotary titanium brush for surface decontamination of peri-implantitis: 3 cases with a 2-year follow-up

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¹é¹Î¿ì, À¯Á¤¾Æ, ÃÖ¼ºÈ£, À̵¿¿î,
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¹é¹Î¿ì ( Baek Min-Woo ) - Veterans Health Service Medical Center Department of Periodontology
À¯Á¤¾Æ ( Yu Jeoung-A ) - Veterans Health Service Medical Center Department of Periodontology
ÃÖ¼ºÈ£ ( Choi Seong-Ho ) - Yonsei University College of Dentistry Department of Periodontology
À̵¿¿î ( Lee Dong-Woon ) - Veterans Health Service Medical Center Department of Periodontology

Abstract

º» Áõ·Êº¸°í¿¡¼­´Â ÀÓÇöõÆ® ÁÖÀ§¿°À¸·Î Áø´ÜµÈ ÀÓÇöõÆ®ÀÇ ¿À¿°µÈ Ç¥¸éÀ» ȸÀüÇü ŸÀÌŸ´½ ºê·¯½¬·Î ó¸®ÈÄ Àç»ýÀû óġ¸¦ ½ÃµµÇÑ 3°¡Áö Áõ·Ê¿¡ ´ëÇÑ ÀÓ»óÀû ¹× ¹æ»ç¼±ÇÐÀû Æò°¡¸¦ ¸ñÀûÀ¸·Î ÇÏ¿´´Ù. 2³â°£ ÃßÀû°á°ú¿¡¼­ 3°¡Áö Áõ·ÊÀÇ Æò±Õ º¯ÇüÄ¡ÅÂÁö¼ö°¡ 1.12¿¡¼­ 0.19·Î, º¯Çü¿­±¸ÃâÇ÷Áö¼ö°¡ 1.38¿¡¼­ 0.25·Î, Ä¡ÁÖ³¶ ±íÀÌ°¡ 8.73 mm¿¡¼­ 3 mm·Î, ÀÓÇöõÆ® »óºÎ¿Í °ñÀÌ Ã³À½ Á¢ÇÏ´Â ºÎÀ§±îÁöÀÇ °Å¸®°ªÀÌ 6.35 mm¿¡¼­ 2.3 mm·Î °¨¼ÒÇÏ´Â °³¼±À» º¸¿´À¸¸ç, ±âÁ¸ÀÇ º¸Ã¶¹°·Î À¯ÁöÇÒ ¼ö ÀÖ¾ú´Ù. ÇâÈÄ Àå±âÀûÀÎ ÃßÀûÀ» ÅëÇØ º» ¼ú½ÄÀÇ È¿°ú¸¦ µÞ¹ÞħÇÒ ¼ö ÀÖ´Â ±Ù°Å¸¦ ¸¶·ÃÇÒ °ÍÀÌ ÇÊ¿äÇÒ °ÍÀÌ´Ù.

Peri-implantitis, in which inflammation caused by plaque and biofilm on the implant surface spreads to the hard tissue, can be treated by decontamination of the implant surface and reconstruction of the lost hard tissue through surgical methods. We have described the management of 3 peri-implantitis cases by decontamination of the implant surface using a round titanium brush and regenerative therapy. All cases showed clinical improvements, and no further radiographic bone loss was observed during a 2-year follow-up. This treatment method can be effective for clinical improvement and bone regeneration. However, a longer follow-up period is necessary to support these outcomes.

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dental implants; peri-implantitis; bone regeneration

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KCI