Exposed threads and perimplantitis: Treatment recommendations?

Last Updated February 05, 2018
Reviewed By:  Dr. Vipul Shukla

I placed these implants in early November 2017. A CBCT and surgical guide was used. Patient went on an extended vacation out of the country for 3 months, so I was not able to follow up. When the patient returned, there was inflammation, mucositis and beginning peri-implantitis. I removed the healing collars, flapped , curetted and irrigated the area . There was foreign debris, food particles etc, in the implant sites. When I re-evaluated the sites in one week, the tissue was improving, but I am concerned about the exposed threads. One complicating factor was the retained root tip. I spoke to oral surgeon prior to placement and the surgeon said that the tip was intentionally retained due to its proximity to the unusual anatomy of the mental foramen and anterior loop. We decided that it would not be a problem if I stayed away from the area. The CBCT shows the root lateral to the implant. What treatment do you recommend?

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