{"id":6025,"date":"2022-05-25T12:17:37","date_gmt":"2022-05-25T10:17:37","guid":{"rendered":"https:\/\/blog.avinent.com\/?p=2541"},"modified":"2024-11-12T12:24:29","modified_gmt":"2024-11-12T11:24:29","slug":"bone-regeneration-iceberg-perodontally","status":"publish","type":"post","link":"https:\/\/avinent.com\/en\/blog\/bone-regeneration-iceberg-perodontally\/","title":{"rendered":"Bone regeneration and placement of Biomimetic Iceberg implants in a periodontally compromised patient"},"content":{"rendered":"\n\t\t\t\t\n
Introduction<\/strong>
<\/h5>\n\n\n\n

The use of osseointegrated implants to replace\nnatural teeth <\/strong>that have been lost is widely documented on\na scientific level and today constitutes a predictable long-term therapeutic\noption in different clinical situations.<\/p>\n\n\n\n

Risk factors such as smoking or a history of periodontitis<\/strong> of the patient, together with poor oral hygiene, can lead to the loss of the dental implants and, therefore, the failure of the implant treatment. Bone regeneration.<\/p>\n\n\n\n

For a satisfactory long-term prognosis of dental implants, one of the main factors to take into account is the maintenance or improvement of the quality and stability of the soft tissue-implant interface. For this purpose, the Biomimetic Iceberg implant presents a converging morphology at the transmucosal neck, with no angles or edges, that makes it possible to respect the biology of the periimplant tissues<\/strong>, ensuring the seal and facilitating the correct maintenance of the implant.
<\/p>\n\n\n\n

<\/div>\n\n\n\n

Case presentation<\/strong><\/h5>\n\n\n\n

Male patient aged 64 years, with mild systemic disease ASA2, attended the clinic with pain, inflammation and odour in the anteroinferior area.

The patient is a smoker with poor hygiene, and no periodontal checks for years. The intraoral examination revealed an advanced degree of periodontitis<\/strong>, stage IV grade B, with periodontal destruction, presence of deep pockets and a significant intraosseous defect in the anterior area of the inferior maxilla where he had two implants.
<\/p>\n\n\n\n

\"\"
Initial situation of marked bone loss around the implants. <\/figcaption><\/figure><\/div>\n\n\n\n
<\/div>\n\n\n\n
Treatment<\/strong><\/h5>\n\n\n\n

After an exhaustive\nevaluation of the case, it was concluded that in addition to periodontal\ntreatment, complex\nmultidisciplinary treatment<\/strong> was required.<\/p>\n\n\n\n

We started with\nperiodontal therapy, in this case non-surgical. Two sessions of scaling and\nroot planing were carried out 5 days apart, combined with a systemic antibiotic treatment<\/strong> for\n7 days and application of local\nchlorhexidine<\/strong> for 15 days.<\/p>\n\n\n\n

At the 5-week reevaluation the patient presented stabilization of the disease in all sites except in sextants 1 and 5. In sextant 1 pocket reduction surgery with a modified Widman flap<\/strong> was carried out, with good curettage of granulation tissue. The root cleaning was completed in the deepest areas and the bone architecture was modified to achieve a more favourable situation, compatible with periodontal health. Meanwhile, sextant 5 presented two implants affected by periimplantitis with an impossible prognosis.<\/p>\n\n\n\n

After extracting the two implants, and once the defect had been cleaned and prepared, guided bone regeneration with particulate bone and reabsorbable membrane<\/strong> was carried out due to the large resulting defect. <\/p>\n\n\n\n