How do you treat infected implants?
We offer many treatment options for ailing/failing implants. Traditionally, this method included surgical access with decontamination of the implant. If indicated, bone or soft tissue grafting is added to regenerate any lost supporting structures. In addition to traditional surgical methods, we use laser therapy. In our office, we use a combination of an Er:YAG and Nd:YAG to obtain the desired results, as well as, traditional therapies if needed. Another exciting new addition that is EXCLUSIVE to our office is the use of PRF (platelet rich fibrin) and ozone therapy. We have had fantastic results when added to the decontamination methods as noted. The combination approach gives the implant the best chance at success.
In the attached article (view article), Professsor Gokbuget explains, "Unlike mechanical decontamination methods, which cannot fully adapt to the irregularities on the surface of an implant, lasers can irradiate the whole surface, reaching areas that are too small to receive mechanical instrumentation." He concludes that the Lightwalker's Er:YAG wavelength "can be safely and effectively utilized for degranulation and implant surface debridement".
How Often Do You Like To See Your Implant Patients?
We recommend maintenance of these implants in our office once a year. At this visit, we will evaluate the tissue, do a cursory exam of the remaining dentition to check for any untreated gum disease, take a radiograph and check the bite.
How Do You Treat Infections Around An Implant?
We treat peri-implantitis similar to treating periodontal disease. We use a combination approach by using our Nd:YAG and Er:YAG lasers to aid in decontamination, surgical access to clean thoroughly, a host of agents to clean the surface if needed and bone/soft tissue grafting as needed to restore the lost structure.