Implantoplasty to Treat Peri-implantitis

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.

9 thoughts on “Implantoplasty to Treat Peri-implantitis

  1. Robert Wolanski says:

    Very nice work
    I have been doing this in my office for about 6 years now. It is very predictable and is giving a new lease on life for many implants with exposed threads that come into my office. I do use a microscope to allow me the best finish possible.
    Some presenters show cases of thread cleansing and GBR but there is little evidence to support the predictability of this procedures once the rough thread surface is contaminated. I started doing this based on a paper I read that was published about 10 years ago

  2. DocDragon says:

    So would you leave some granulation tissue behind? Because when looking at the X-ray, there is no practical way to remove that tissue all the way to the apex of the implant by merely using a Rangeur. And after debridement, new granulation tissue should develop if the space is not filled with some sort of bone grafting material.

    While the end result is indeed impressive, it seems like there are too many unknown details. If someone could elaborate a little further, I would appreciate it! 😉

  3. Tomek says:

    Looks great, but i would like to ask about bur, protocol and long term results. Expetienced implantologists – write some details please.

  4. rob rother says:

    I’ve tried and had success with a few approaches over the years.
    1) polishing off micro and macrothreads. This needs a fine flame-shaped tungsten carbide bur with loads of coolant. The narrow diameter instrument is essential to get onto the mesial and distal surfaces. I’d say that you go no deeper than the depths of the threads of the implant. This implant will be weaker than it used to be of course.
    2) the similar shaped Baker-Curson bur in the high speed allows fine polishing..
    3) consider Ti brushes in initial management and for cleaning right up to where the bone laps onto the implant surface. These brushes will clean the implant surface, remove the granulation tissue and debride the bone surface. Also usefiul in this situation when attempting bone repairs following peri-implantitis.
    4) expect to find fine fibres of titanium on follow-up radiographs….

  5. Jawdoc says:

    Looks pretty pointless to me. Bone didn’t regrow. & this case had the benefit of thick soft tissue which covered the originally failing implants just as well anyway. Perhaps the point was to prevent further bone loss. In which case, where r the long term post op X-rays / scans?

Leave a Comment:

Comment Guidelines: Be Yourself. Be Respectful. Add Value. For more details, read our comment guidelines. Though we require an email to comment, we will NEVER publish your email.
Required fields are marked *

Posted in Free Videos, Surgical.
Bookmark Implantoplasty to Treat Peri-implantitis

Videos to Watch:

Immediate Loading Full Arch

This video shows a case of Immediate loading of a full arch with simultaneous guided[...]

Watch Now!
Apically Repositioned Flap Technique Around Implants

The apically positioned flap is a commonly used surgical approach, that may help the long[...]

Watch Now!
Digitally Planned Bone Augmentation and Immediate Implantation

This video shows a case using the Ring technique to provide bone augmentation along with[...]

Watch Now!
AnyRidge Implants: Replacement of Upper Left Molars

This video shows the replacement of maxillary upper left molars with Megagen AnyRidge Implants.[...]

1 Comment

Watch Now!
Guided Implant Surgery & Immediate Temporisation

This video demonstrates the placement of a missing pre-molar using computer-guided surgery and immediate temporization.[...]

1 Comment

Watch Now!
Implantoplasty to Treat Peri-implantitis

This video shows the use of the Implantoplasty technique to treat peri-implantits. Granulation tissue and[...]


Watch Now!
Placement of Implant Using EZ Devices

This video demonstrates the placement of a dental implant in the upper jaw using the[...]

Watch Now!
BonePen: Improve Positioning of Implants

A short video demonstrating close up the use of the BonePen Kit, a set of[...]

Watch Now!
Vertical and Horizontal Bone Augmentation with Khoury Bone Plates

This video shows a way to utilize thin autogenous bone plates to create stunning bone.[...]


Watch Now!
Maxgraft bonering: immediate implant placement

This video shows a live surgery using the maxgraft bonering, which is a pre-fabricated[...]

1 Comment

Watch Now!
Socket Preservation In a Type II Socket

This video shows a case where a ridge preservation is performed in a type II[...]

Watch Now!
Three tips for All-on-4 from Dr. Malo

In this video, Professor Malo gives three tips for a successful start with the All-on-4[...]


Watch Now!