Case of Periimplantitis

Today's case involves a patient who had implants placed around 20 years ago after a window approach, but the implants had to be removed due to peri-implantitis.

This is a photo from before the upper right implant was placed in 2003.

At that time, there was no CT scan available, and due to limited remaining bone volume, bone grafting was performed before implant placement.

This year, the patient is a 65-year-old woman.

This is a photo of the patient undergoing a Windows app procedure.

Bio-Oss was used for bone grafting in this case.

This is a photo taken after the surgery.

Approximately 5 months later, the implant was placed, and the prosthesis was completed.

In 2007

In 2008

In 2009

It's 2009 too.

In 2011

In 2012

In 2014

In 2015

In 2017

In 2019

In 2020

And on February 3, 2022, after a long absence, the patient visited with discomfort in the area of tooth 17 and symptoms of maxillary sinusitis as shown.

Based on the CT findings, there appears to be thickening of the right maxillary sinus membrane, and there are signs of infection around the implant.

Ultimately, after the removal of the implant at tooth 17 and ongoing observation, the patient's symptoms improved. However, the overall situation, including tooth 36 and others, does not appear to be favorable.

 In the end, the overall health condition can indeed have an impact on periodontal disease, and as patients age, especially those with diabetes, it becomes increasingly important to observe and manage their oral health more diligently.