Peri-Implantitis Treatment | Tissue Regeneration

Periimplantitis Treatment | Electronic Doctor

The dental implant represents an optimal way of replacement for a natural tooth. The success rate of dental implants is usually around 95 percent. After 3 to 5 years, the chances of dental implant failure due to infections or peri-implantitis are way higher than 5 percent. In the last years, we treated hundreds of patients who were dealing with implant failure/peri-implantitis.

The soft and hard tissues that surround an implant can be easily exposed to infection. A natural tooth has and is prepared for a certain level of mobility. When it's exposed to extreme forces, the tooth is allowed to move a little, as the dental ligaments take upon them an important percentage of those forces. The dental implant is not sustained by dental ligaments and that's why all the pressure that is put on them is transmitted directly to the surrounding tissues. Those forces damage the hard and soft surrounding tissues and lead to infections, gum recession and alveolar bone resorption.

There are three types of peri-implantitis, which can all be treated in our dental clinics using minimally invasive techniques (tisular regeneration - Electronic Doctor , occlusal adjustment):

  • » peri-implant mucositis (less severe)
  • » marginal peri-implantitis
  • » retrograde peri-implantitis

Follow the treatment overview for each type of peri-implantitis presented below:

Peri-implantitis mucositis

An inflammation or infection of the gums, similar to gingivitis, peri-implant mucositis is completely treatable. A calculus cleaning session and a couple of Electronic Doctor regenerative sessions is all that is needed in order to treat this type of peri-implantitis. These procedures are not only a cure for peri-implant mucositis, but also a great way to strengthen the hard peri-implantary tissue, considerably increasing the lifespan of the dental implant.

Marginal peri-implantitis

Untreated peri-implant mucositis evolves to marginal peri-implantitis, a more serious condition that is highly similar to periodontitis. The alveolar bone resorption is very fast and the implant can become loose in just a few weeks if the marginal peri-implantitis is not treated. The treatment for marginal peri-implantitis is similar to the treatment for periodontitis:

  • » Professional Cleaning (scaling, dental plaque removal, pocket cleaning);
  • » Electronic Doctor regenerative sessions;
  • » Digital Management of Dental Occlusion.

Retrograde peri-implantitis

Retrograde peri-implantitis does not occur frequently. The implant is surrounded by granulation tissue and the gum infection is severe. The usual treatment for this affection includes a curettage of the affected area. Still, it is proven that a surgical intervention (such as curettage) does more damage than good on long term, as the regenerative cells will be drastically reduced in that area.

In order to treat retrograde peri-implantitis, we perform the same procedures as in the treatment of marginal peri-implantitis, but we are more focused on the deep cleaning of the affected areas.

The classical treatment for peri-implantitis sometimes includes bone grafting and other invasive surgical interventions. In most cases, we don't find it necessary to use the scalpel but in a few cases the bone graft is required, as the hard tissue is almost gone. If the quality of the alveolar bone is completely compromised, we perform bone grafts and we accelerate the bio-integration of those grafts with our Electronic Doctor regenerative technique.