How do you treat Peri-Implantitis?

During my perio residency 2004-2007 we were taught to treat peri-implant defects as though they were teeth, which they are not. We used plastic and/or titanium instruments and often resorted to plasty of the implant threads.... The end result was cross your fingers and hope for a miracle. Recent studies, and my own clinical experience, has demonstrated that scrubbing and rinsing with sterile water should be the only instrument, other than an end tufted brush to contact the surface. Attached is a case demonstrating the treatment of peri-implantitis...