Resumen de Combined surgical approach for disinfection and regeneration of peri-implant defects. Three case report
Iria González Regueiro, Natalia Martínez Rodríguez, María Andrés Veiga, Javier Sanz Alonso, José María Martínez González
Dental implants suffer a high incidence of mucositis and peri-implantitis, which can lead to failure. There are multiple non-surgical and surgical therapeutic approaches for these pathologies, although surgical treatment is indicated for peri-implantitis. Surgery may take the form of access surgery, resective and/or regenerative treatment. In order to achieve biofilm removal and improvement of peri-implant tissues, prior implant decontamination should always be performed. Mechanical, chemical, antibiotic or laser methods may be used to carry out the procedure. This article discusses three clinical cases in which a combined surgical approach was used employing implantoplasty, decontamination with chlorohexidine and orthophosphoric acid, application of local antibiotic (piperacillin/tazobactam) and regeneration via synthetic hydroxyapatite and resorbable membrane, showing favorable clinical outcomes consistent with bibliographical references.
