A study published in the Journal of Oral Implantology details a new surgical approach to treat peri-implantitis. Researchers from Wonkwang University, Yonsei University, and the Global Academy of Osseointegration in Korea conducted two case studies using a novel cleaning and regenerative surgical process in which clinicians used a round titanium brush to remove debris, while maintaining the rough surface of the diseased implant. A regenerative approach incorporating bone graft materials was used to rebuild the bone surrounding the implant.
According to the study, “Surgical Treatment of Severe Peri-Implantitis Using a Round Titanium Brush for Implant Surface Decontamination: A Case Report With Clinical Reentry,” the brush was effective at removing biofilm, while also preserving the rough surface of the implant threads, making the regenerative process more successful and predictable. After a two-year follow-up, the team found that the bone level was preserved.
“The results obtained in these two cases emphasize the importance of mechanical decontamination by eliminating the contaminated surface and creating a new rough surface for a regenerative approach in the treatment of severe peri-implantitis,” note the authors. “This technique has the advantages of effectively cleaning the contaminated implant surface and producing positive clinical and radiological results during the two-year follow-up period.
The study notes further studies are necessary to verify the reliability and validity of this technique.