This patient presented to me with severe pain. Implants (OSSTEM) placed 3 years ago. Radiograph is attached, and shows considerable amount of bone loss. Current situation is that the gingiva on the lingual side is of a thin biotype and is rubbing against the threads of the implant, hence causing the pain. Patient also has an issue of BMS on the same side of the tongue and this situation aggravates it.
I have looked for causes of the bone loss, I have corrected the occlusion, and have got a periodontal consultation done, the periodontist suggested some LASER treatment to disinfect the pocket and improve the condition, which I have also tried. The patient is not completely relieved. I do understand that the line of treatment would involve smoothening the implant surface, but is that what is suggested and the best treatment plan? How should I proceed with this situation?