임플란트 주위염의 치료: 증례보고
Treatment of Peri-implantitis: Cases Report
성헌모, 김경규,
소속 상세정보
성헌모 ( Sung Hun-Mo ) - 순천향대학교 천안병원 치과
김경규 ( Kim Kyoung-Kyu ) - 순천향대학교 천안병원 치과
KMID : 1036320130350020112
Abstract
This study aims to investigate the clinical outcome following treatment of peri-implantitis lesions. Five subjects with 7 implants were treated with surgical approach. Four subjects with 6 implants were initially treated with non-surgical approach or hygiene control. However, inflammation was not resolved and more bone loss was found. Therefore, surgical treatment was performed. After surgical exposure of the defect, granulation tissue was removed and implant surface was treated using tetracycline and chlorhexidine. Then, the flaps were sutured. The wound healing was performed in a non-submerged mode. The present finding demonstrates stable results without progression of bone loss. In one subject, deep V shaped bone defect was filled with bone substitute (ICB, CanCellous Bone, Rockey Mountain Tissue Bank, USA), and resorbable membrane (Lyoplant$^{(R)}$ 수식 이미지, B.Braun Aesculap AG, Germany) was placed over the grafted defect and healing abutment was connected. However, the inflammation was not resolved and more bone loss was found. At one month after regenerative surgery, the implant was removed.
키워드
Peri-implantitis;Surgical;Non-surgical;Bone loss;Tetracycline
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