Dental surgery/oral and maxillofacial surgery.
Therapeutic Objectives: Reduction of peri-implant (“around the implant”) pockets, improvement of cleanability, prevention of explantation (surgical removal of the implant).
- Exposure of the defect, subsequently.
- Mechanical debridement (wound toilet, i.e., removal of necrotic (dead) tissue).
- Cleaning of implant surfaces with special curettes and brushes (plastic, titanium).
- Decontamination (removal of one or more hazardous substances) of the surfaces.
- With citric acid, etc., then rinsing with physiological saline solution.
- By laser systems with wavelengths that are minimally absorbed by titanium (caveat: heating).
- CO2 laser
- Diode laser
- Er:YAG laser
- Er,Cr:YSSG laser
- Photodynamic chemotherapy (PACT) – photochemical interactions between low-intensity laser light and a photosensitizer (photosensitive active substance) with the aim of inactivating germs.
- Implantoplasty – removal of the exposed threads, smoothing and polishing of the supracrestal (“located above the bone seam”) exposed textured (rough) implant portion, aesthetically unfavorable apical displacement for pocket reduction.
- Alternative: augmentation procedure for defect filling, i.e. surgical reconstruction of lost bone substance in the maxilla or mandible.
- Guided tissue regeneration (GTR).
- Guided bone regeneration (GBR).
- Mechanical debridement (wound toilet, i.e., removal of necrotic (dead) tissue).
- Explantation (surgical removal of the implant) – in case of implant mobility or severe defects to prevent further bone loss.
- Postoperative aftercare
