Treatment of Peri-Implantitis - Electrolytic Cleaning

Summary

Combination of electrolytic cleaning and GBR in the treatment of peri-implantitis

There is a clinical need for more effective approaches to decontaminating infected implants. In a recent RCT, electrolytic cleaning was used to achieve complete regeneration of bone surrounding 12 implants (2). In this case report, Dr Pohl explains the process of treating peri-implantitis in a step-by-step approach. He starts with the diagnosis of peri-implantitis. The next steps show accessing the affected implant by flap elevation and conducting the cleaning by using an electrolytic cleaning device (GalvoSurge®, Nobel Biocare). The subsequent steps demonstrate the application of Guided Bone Regeneration and closing the flap. The case report is concluded by presenting the follow-up of the treatment after 6 months and the successful maintenance of the formerly endangered implant. 

Clinical Relevance

The case report shows the successful treatment of peri-implantitis using electrolytic cleaning for the removal of the biofilm on the affected implant and Guided Bone Regeneration to improve the bony situation for long-term implant stability. 

Authors

References

1. Presented at the 30th Annual Scientific Meeting of the European Association of Osseointegration (EAO Digital Days), 12-14 October 2021, Oral Communication. Video republished by the Foundation for Oral Rehabilitation with permission of the author. 

2. Schlee M, Rathe F, Brodbeck U, Ratka C, Weigl P, Zipprich H. Treatment of Peri-implantitis-Electrolytic Cleaning Versus Mechanical and Electrolytic Cleaning-A Randomized Controlled Clinical Trial-Six-Month Results. J Clin Med. 2019 Nov 7;8(11):1909. doi: 10.3390/jcm8111909.