Dr. M asks:
This 64 year-old patient (image below) came to us from another practice. He recently presented with pain in his maxillary left posterior in the region of implants placed in the #12 and 13 sites [maxillary left first and second premolar; 24, 25]. The patient had implants placed in this area approx 5yrs ago by another practitioner. I do not have that much of experience in the field of implants having done 60 cases so far. My x-ray shows some bone loss around one of the fixtures [Please see radiograph]. Could it be peri-implantitis? Soft tissue is dramatically lost along the implants. I would be grateful for any comments. Thanks.