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International Journal of Periodontics & Restorative Dentistry
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Int J Periodontics Restorative Dent 39 (2019), No. 4     12. July 2019
Int J Periodontics Restorative Dent 39 (2019), No. 4  (12.07.2019)

Page 479-489, doi:10.11607/prd.4158, PubMed:31226185


Peri-implantitis Treatment Using Er:YAG Laser and Bone Grafting. A Prospective Consecutive Case Series Evaluation: 1 Year Posttherapy
Clem, Donald / Gunsolley, John C.
An effective treatment regime for peri-implantitis (P-I) should include disinfection and regeneration of peri-implant tissues. Twenty consecutive patients exhibiting 23 P-I implants with 84 deep (≥ 6 mm) defects were treated using an Er:YAG laser for implant surface decontamination, removal of defect granulomatous tissues, and grafting therapy for bony defect resolution. Probing pocket defects (PPD) ≥ 6 mm (deep probing depths) before surgery were reduced on average to approximately 3.5 mm at 12 months. Probing depths < 6 mm (shallow probing depths) remained stable (mean PPD 3.2 mm at 12 months). Radiographs indicated PPD reductions were achieved along with peri-implant defect fill.