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International Journal of Periodontics & Restorative Dentistry
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Int J Periodontics Restorative Dent 39 (2019), No. 3     14. June 2019
Int J Periodontics Restorative Dent 39 (2019), No. 3  (14.06.2019)

Page 415-421, doi:10.11607/prd.3940, PubMed:30986291


Peri-implant Infection Concomitant with a Flare-up Episode of Chronic Periodontitis: An Unusual Regeneration Following Treatment and a 5-Year Follow-up
Tawil, Georges / Tawil, Peter
Chronic periodontitis progression may go through phases of remission and exacerbation. The possibility of periodontal pathogens translocating from infected periodontal sites to peri-implant sites has been reported. Additionally, a history of periodontal disease seems to be a risk factor for peri-implantitis. The present case reports a flare-up of chronic periodontitis concomitant with an episode of peri-implant infection on a documented stable implant site. Periodontal infection was managed nonsurgically by scaling root planing and antibiotic treatment. Peri-implant infection was treated by open-flap debridement and implant surface decontamination. A remarkable regeneration on the peri-implant defect occurred steadily over a 3-year period, leading to a full regeneration of the site relying exclusively on the individual healing resources.