This video shows the use of the Implantoplasty technique to treat peri-implantits. Granulation tissue and the bacterial biofilm is eliminated and the rough surface of the implant is smoothened. In general, Implantoplasty refers to the use of rotating instruments to smoothen rough implant surfaces which are exposed to the oral cavity, with the objective of reducing the adherence of plaque and facilitating implant surface cleaning. Various studies have suggested that implantoplasty is a viable treatment of peri-implantitis, though some concerns remain (see: Impact of implantoplasty on strength of the implant-abutment complex where the diameter of implants is mentioned an issue with implantoplasty). The theoretical benefit of implantoplasty is the production of a surface that is less adherent to bacterial colonization and a form of surface decontamination. In Claffey et al.’s 2008 review of surgical treatments of peri-implantitis, he states,”…[implantoplasty] could be of value when treating peri-implantitis and should be considered.”1
1. Claffey N, Clarke E, Polyzois I, Renvert S. Surgical treatment of peri-implantitis. Journal of Clin Perio 35, 316–332.