The Journal of the Korean dental association (대한치과의사협회지)

The Korean Dental Association (대한치과의사협회)
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Use of Bovine-derived bone mineral (Bio-Oss Collagen$^{(R)}$) in surgical treatment of peri-implantitis: A case report

임상가를 위한 특집 3 - Peri-implantitis의 regeneration therapy 증례 보고

  • Cho, Young Jae (Program in Periodontology, School of dental science, Graduate school, Seoul National University)
  • 조영재 (서울대학교 치의학대학원 치주과학교실)
  • Received : 2013.11.15
  • Accepted : 2013.11.27
  • Published : 2013.12.01
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Abstract

The aim of this study was to achieve healing of Peri-implantitis defects and hard tissue augmentation using a bovine-derived bone mineral on the defect site. Two patients were treated with the surgical approach. With a full muco-periosteal flap elevation, the implant surfaces were exposed and granulation tissue removed around the implant and between the threads. Each surface of the contaminated implant was prepared with the air-abrasive device(PerioFlow$^{(R)}$) for decontamination. Bovine-derived bone mineral(Bio-Oss collagen$^{(R)}$) was then used to fill the defects and muco-periosteal flaps sutured to achieve transmucosal healing. Radiographs and clinical photographs were taken before and after 6 months of healing and an estimate of bone fill was assessed. Within the limits of the present case report, a surgical approach in treatment of peri-implantitis defects using a collagen form of bovine bone mineral was visited. Although limited, the two cases showed the stability and biocompatibility of a bovine-derived bone mineral and effectiveness of air-abrasive device(PerioFlow$^{(R)}$) as a decontamination method.

Keywords

References

  1. Merickse-Stern R, Aerni D, Geering AH, Buser D. Long-term evaluation of non-submerged hollow cylinder implants. Clinical and radiographic results. Clin Oral Implants Res 2001; 12: 252-259. https://doi.org/10.1034/j.1600-0501.2001.012003252.x
  2. Jung RE, Pjetursson BE, Glauser R, Zembic A, Zwahlen M, Lang NP. A systematic review of the 5-year survival and complication rates of implantsupported single crowns. Clin Oral Implants Res 2008; 19: 119-130. https://doi.org/10.1111/j.1600-0501.2007.01453.x
  3. Pjetursson BE, Tan K, Lang NP, Bragger U, Egger M, Zwahlen M. A systematic review of the survival and complication rates of fixed partial dentures (FPDs) after an observation period of at least 5 years. Clin Oral Implants Res 2004; 15: 667-676. https://doi.org/10.1111/j.1600-0501.2004.01120.x
  4. Mombelli A. Microbiology of the dental implant. Adv Dent Res 1993; 7: 202-206. https://doi.org/10.1177/08959374930070021201
  5. Pontoriero R, Tonelli MP, Carnevale G, Mombelli A, Nyman SR, Lang NP. Experimentally induced periimplant mucositis. A clinical study in humans. Clin Oral Implants Res 1994; 5: 254-259. https://doi.org/10.1034/j.1600-0501.1994.050409.x
  6. Mombelli A, Lang NP. The diagnosis and treatment of peri-implantitis. Periodontol 2000 1998; 17: 63-76. https://doi.org/10.1111/j.1600-0757.1998.tb00124.x
  7. Schwarz F, Herten M, Sager M, Bieling K, Sculean A, Becker J. Comparison of naturally occurring and ligature-induced peri-implantitis bone defects in humans and dogs. Clin Oral Implants Res 2007; 18: 161-170. https://doi.org/10.1111/j.1600-0501.2006.01320.x
  8. Schou S, Holmstrup P, Jorgensen T, Skovgaard LT, Stoltze K, Hjorting-Hansen E, Wenzel A. Implant surface preparation in the surgical treatment of experimental peri-implantitis with autogenous bone graft and ePTFE membrane in cynomolgus monkeys. Clin Oral Implants Res 2003; 14: 412-422. https://doi.org/10.1034/j.1600-0501.2003.00912.x
  9. Renvert S, Roos-Jansaker AM, Claffey N. Nonsurgical treatment of peri-implant mucositis and peri-implantitis: a literature review. J Clin Periodontol 2008; 35: 305-315.
  10. Schwarz F, Ferrari D, Popovski K, Hartig B, Becker J. Influence of different air-abrasive powders on cell viability at biologically contaminated titanium dental implants surfaces. J Biomed Mater Res B Appl Biomater 2009; 88: 83-91.
  11. Deppe H, Horch HH, Neff A. Conventional versus CO2 laser-assisted treatment of peri-implant defects with the concomitant use of pure-phase beta-tricalcium phosphate: a 5-year clinical report. Int J Oral Maxillofac Implants 2007; 22: 79-86.
  12. Renvert S, Lindahl C, Roos Jansaker AM, Persson GR. Treatment of peri-implantitis using an Er:YAG laser or an air-abrasive device: a randomized clinical trial. J Clin Periodontol 2011; 38: 65-73. https://doi.org/10.1111/j.1600-051X.2010.01646.x
  13. Schwarz F, Jepsen S, Herten M, Sager M, Rothamel D, Becker J. Influence of different treatment approaches on non-submerged and submerged healing of ligature induced periimplantitis lesions: an experimental study in dogs. J Clin Periodontol 2006; 33: 584-595. https://doi.org/10.1111/j.1600-051X.2006.00956.x
  14. Schwartz Z, Kieswetter K, Dean DD, Boyan BD. Underlying mechanisms at the bone-surface interface during regeneration. J Periodontal Res 1997; 32: 166-171. https://doi.org/10.1111/j.1600-0765.1997.tb01399.x
  15. Maiorana C, Beretta M, Salina S, Santoro F. Reduction of autogenous bone graft resorption by means of bio-oss coverage: a prospective study. Int J Periodontics Restorative Dent 2005; 25: 19-25.
  16. von Arx T, Buser D. Horizontal ridge augmentation using autogenous block grafts and the guided bone regeneration technique with collagen membranes: a clinical study with 42 patients. Clin Oral Implants Res 2006; 17: 359-366. https://doi.org/10.1111/j.1600-0501.2005.01234.x
  17. Araujo MG, Liljenberg B, Lindhe J. Dynamics of Bio-Oss Collagen incorporation in fresh extraction wounds: an experimental study in the dog. Clin Oral Implants Res 2010; 21: 55-64. https://doi.org/10.1111/j.1600-0501.2009.01854.x