Publication: Apical approach to the treatment of peri-implantitis in the esthetic zone: nonincised papillae surgical approach (NIPSA). Case reports
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Date
2022-05-25
Authors
Rodríguez Moreno, José Antonio ; Ruiz Ortiz, Antonio José
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Publisher
Quintessence Publishing Co
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DOI
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info:eu-repo/semantics/article
Description
© 2012 Quintessence Publishing Co. This document is the Published version of a Published Work that appeared in final form in International Journal of Esthetic Dentistry.
Abstract
Objective: Advanced peri-impiantitis treatment is a ciinicai challenge. Reconstructive surgery is not suggested in defects with limited bony walls and/or in those with a suprabony defect. All studies of peri-implantitis reconstructive surgery have considered a marginal surgical approach. However, in the present case report, a new apical approach is presented for the reconstruction of an advanced peri-implantitis lesion. Materials and method: First, a non-surgical phase combines prosthetic, mechanical, and chemical strategies. Second, a surgical phase combines the apical nonincised papillae surgical approach (NIPSA) with biomaterials and a connective tissue graft. Conclusion: Successful results have been obtained when using a NIPSA for the treatment of peri-implantitis, despite the unfavorable characteristics of the peri-implant defect.
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Citation
International Journal of Esthetic Dentistry . Summer 2022, Vol. 17 Issue 2, pp. 202-214
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