Oral Lichen Planus and a failing dental implant: approach?

Six mm is a large defect conservative non surgical treatments are not of much use with a Periimplantitis it needs to be treated. When this implant does fail it will cause additional bone loss. LAPIP is a conservative option vs an open technique which is what I would use. The time for water pick and super floss has past get her to someone who can treat this or you'll just be watching this fail. Sixteen years is great, but intervention is needed no promises there is a 50% success rate with this, then removal grafting and/or replacement vs bridge but the defect needs to be fixed. Super floss and hygiene are great options for a soft tissue problem not a bony defect since there is no PDL, this is treated like an isolated osteomyelitis , good luck.

You have a point " benign neglect" if you wait a few years it will be easy to remove hopefully she won't live long sounds pessimistic. Sixteen years is getting to the end of this implants shelf life. I think I would be honest with the patient. Salvaging these implants as a suggested has about a 50% success rate and since it is a minimally invasive procedure I feel it is worth a try unless this patient has a terminal illness or is debilitated. Remember allowing an active inflammation to be untreated has a oral systemic connection. I would treat because I have a protocol the patient could always be referred for care.