Implantoplasty-Aided Prosthetic Rehabilitation for the Management of Peri-Implantitis in Maxilla Reconstructed With Free Fibula Flap: A Clinical Report

Overview

Journal Case Rep Dent

Publisher Wiley

Date 2025 Jan 24

PMID 39850946

Authors

Ajay Yerramsetti

Manju Vijayamohan

Maya Rajan Peter

Pramod Subhas

Affiliations

Soon will be listed here.

Abstract

For managing peri-implantitis, a variety of treatment modalities involving both surgical and nonsurgical methods including implantoplasty have been proposed. Implants that are placed in a free fibula flap are more prone to peri-implantitis due to the absence of firm, keratinized mucosa. Prosthetic design that offers adequate hygiene access should be designed whenever possible; otherwise, it may lead to the accumulation of plaque or biofilm that may lead to peri-implant diseases. Implantoplasty, which is performed in advanced peri-implantitis cases that cause exposure of implant threads, has been proposed as a reliable approach to preventing progressive peri-implant bone loss by modifying the exposed implant surface. This clinical report details the management of severe peri-implant bone loss in a maxilla reconstructed with a free fibula flap by combining soft tissue management, implantoplasty, and prosthetic rehabilitation.

References

Ramel C, Lussi A, Ozcan M, Jung R, Hammerle C, Thoma D . Surface roughness of dental implants and treatment time using six different implantoplasty procedures. Clin Oral Implants Res. 2015; 27(7):776-81. DOI: 10.1111/clr.12682. View

Romeo E, Ghisolfi M, Murgolo N, Chiapasco M, Lops D, Vogel G . Therapy of peri-implantitis with resective surgery. A 3-year clinical trial on rough screw-shaped oral implants. Part I: clinical outcome. Clin Oral Implants Res. 2005; 16(1):9-18. DOI: 10.1111/j.1600-0501.2004.01084.x. View

Stavropoulos A, Bertl K, Eren S, Gotfredsen K . Mechanical and biological complications after implantoplasty-A systematic review. Clin Oral Implants Res. 2019; 30(9):833-848. DOI: 10.1111/clr.13499. View

Barrak F, Li S, Muntane A, Jones J . Particle release from implantoplasty of dental implants and impact on cells. Int J Implant Dent. 2020; 6(1):50. PMC: 7486360. DOI: 10.1186/s40729-020-00247-1. View

Schwarz F, Sahm N, Iglhaut G, Becker J . Impact of the method of surface debridement and decontamination on the clinical outcome following combined surgical therapy of peri-implantitis: a randomized controlled clinical study. J Clin Periodontol. 2011; 38(3):276-84. DOI: 10.1111/j.1600-051X.2010.01690.x. View

Heitz-Mayfield L, Salvi G, Mombelli A, Faddy M, Lang N . Anti-infective surgical therapy of peri-implantitis. A 12-month prospective clinical study. Clin Oral Implants Res. 2011; 23(2):205-210. DOI: 10.1111/j.1600-0501.2011.02276.x. View

Costa-Berenguer X, Garcia-Garcia M, Sanchez-Torres A, Sanz-Alonso M, Figueiredo R, Valmaseda-Castellon E . Effect of implantoplasty on fracture resistance and surface roughness of standard diameter dental implants. Clin Oral Implants Res. 2017; 29(1):46-54. DOI: 10.1111/clr.13037. View

Chan H, Oh W, Ong H, Fu J, Steigmann M, Sierraalta M . Impact of implantoplasty on strength of the implant-abutment complex. Int J Oral Maxillofac Implants. 2013; 28(6):1530-5. DOI: 10.11607/jomi.3227. View

Hamilton A, Putra A, Nakapaksin P, Kamolroongwarakul P, Gallucci G . Implant prosthodontic design as a predisposing or precipitating factor for peri-implant disease: A review. Clin Implant Dent Relat Res. 2023; 25(4):710-722. DOI: 10.1111/cid.13183. View

10.

Pommer B, Haas R, Mailath-Pokorny G, Furhauser R, Watzek G, Busenlechner D . Periimplantitis Treatment: Long-Term Comparison of Laser Decontamination and Implantoplasty Surgery. Implant Dent. 2016; 25(5):646-9. DOI: 10.1097/ID.0000000000000461. View

11.

Monje A, Kan J, Borgnakke W . Impact of local predisposing/precipitating factors and systemic drivers on peri-implant diseases. Clin Implant Dent Relat Res. 2022; 25(4):640-660. DOI: 10.1111/cid.13155. View

12.

Beheshti Maal M, Verket A . Implantoplasty- provoking or reducing inflammation? - a systematic scoping review. Acta Odontol Scand. 2021; 80(2):105-116. DOI: 10.1080/00016357.2021.1945142. View

13.

Lodders J, Leusink F, Ridwan-Pramana A, Winters H, Karagozoglu K, Dekker H . Long-term outcomes of implant-based dental rehabilitation in head and neck cancer patients after reconstruction with the free vascularized fibula flap. J Craniomaxillofac Surg. 2021; 49(9):845-854. DOI: 10.1016/j.jcms.2021.03.002. View

14.

Sharon E, Shapira L, Wilensky A, Abu-Hatoum R, Smidt A . Efficiency and thermal changes during implantoplasty in relation to bur type. Clin Implant Dent Relat Res. 2011; 15(2):292-6. DOI: 10.1111/j.1708-8208.2011.00366.x. View

15.

Tribst J, Dal Piva A, Shibli J, Borges A, Tango R . Influence of implantoplasty on stress distribution of exposed implants at different bone insertion levels. Braz Oral Res. 2017; 31:e96. DOI: 10.1590/1807-3107bor-2017.vol31.0096. View

16.

Romeo E, Lops D, Chiapasco M, Ghisolfi M, Vogel G . Therapy of peri-implantitis with resective surgery. A 3-year clinical trial on rough screw-shaped oral implants. Part II: radiographic outcome. Clin Oral Implants Res. 2007; 18(2):179-87. DOI: 10.1111/j.1600-0501.2006.01318.x. View

17.

Gonzalez Regueiro I, Martinez Rodriguez N, Barona Dorado C, Sanz-Sanchez I, Montero E, Ata-Ali J . Surgical approach combining implantoplasty and reconstructive therapy with locally delivered antibiotic in the treatment of peri-implantitis: A prospective clinical case series. Clin Implant Dent Relat Res. 2021; 23(6):864-873. DOI: 10.1111/cid.13049. View

18.

Pellegrino G, Tarsitano A, Ferri A, Corinaldesi G, Bianchi A, Marchetti C . Long-term results of osseointegrated implant-based dental rehabilitation in oncology patients reconstructed with a fibula free flap. Clin Implant Dent Relat Res. 2018; 20(5):852-859. DOI: 10.1111/cid.12658. View

19.

Azzola F, Ionescu A, Ottobelli M, Cavalli N, Brambilla E, Corbella S . Biofilm Formation on Dental Implant Surface Treated by Implantoplasty: An In Situ Study. Dent J (Basel). 2020; 8(2). PMC: 7344745. DOI: 10.3390/dj8020040. View

20.

Bianchini M, Galarraga-Vinueza M, Apaza-Bedoya K, De Souza J, Magini R, Schwarz F . Two to six-year disease resolution and marginal bone stability rates of a modified resective-implantoplasty therapy in 32 peri-implantitis cases. Clin Implant Dent Relat Res. 2019; 21(4):758-765. DOI: 10.1111/cid.12773. View