Affiliation:
1. A.I Yevdokimov Moscow State University of Medicine and Dentistry
Abstract
Relevance. Iatrogenic factors are among the significant causes of chronic peri-implantitis, the incidence of which reaches 16-28% according to various data. This article is a clinical case report which describes an approach to the treatment of iatrogenic peri-implantitis associated with a non-absorbable buried suture. Patient Sh., born in 1960, physically healthy, complained of gum bleeding in the region of implant 3.6.Diagnosis. Сhronic peri-implantitis in region 3.6. The treatment was carried out in two stages. During the first (revision) stage, the buried suture of a non-absorbable 2-0 monofilament thread with uncut ends and a loose titanium pin were removed; during the second (reconstructive) stage, a free gingival graft (FGG) was used.Results. The inflammation in the area of implant 3.6 resolved, the soft tissue condition was stable in the immediate and delayed postoperative period. In 3 months after the beginning of the treatment, the cervical bone defect repair was confirmed by the control X-ray.Conclusion. The use of non-absorbable suture material for buried sutures in dental implantation and oral reconstructive surgical interventions is classified as iatrogenesis and is defined as a “medical treatment error”. In the present clinical case, it became the cause of the development of an implant site-specific inflammatory destructive complication. The reduction of chronic peri-implantitis incidence, taking into account its prevalence and problematic nature, requires further research and optimization of the protocols of dental implant treatment.
Publisher
Periodontal Association - RPA
Reference7 articles.
1. Labutova AV., Ciciashvili AM., Lomakin MV., Panin AM., Soloshchanskij II., Ektova AP. Nosological status of chronic peri-implantitis: syndrome or disease? Parodontologiya. (In Russ.). 2018;23(4):15-21. http://doi.org/10.25636/PMP.1.2018.4.3.
2. Lomakin MV., Soloshchanskij II., Zimnuhova TA., Pokhabov AA. Prerequisites for improving the method of guided bone regeneration. Stomatologiya.2018;97(6):7277. (In Russ.). https://doi.org/10.17116/stomat20189706172.
3. International Statistical Classification of Diseases and Health-related Problems, 10th revision, online version. 2019. (In Russ.). Available from: https://mkb-10.com/index.php?pid=20001
4. Ardasheva NA. Sankt-Peterburg:Speclit, 2007:48p. (In Russ.). Available from: https://search.rsl.ru/ru/record/02000006394.
5. Inina Yu. Medicinskaya gazeta. №19/22.5.2019. Avaliable at:http://www.mgzt.ru/content/nomer19-1jpg/
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