Loss of attached gingiva following peri-implantitis tx

155 Rating(s).


Posted on By steve rasner In Periodontics


This healthy (neg. Med. History. Allergy to Penicillin) presented with this history: Inherited Case
1) Implant placement 4 weeks prior #12
2) Pain about one week following and treated with topical irrigation
3) Treated 3 weeks prior with flap and topical Clindomycin scrub.
Patient reports burning of gums and cheeks immediately after.
Reports marginal gingiva turned "white" as well as massive white lesion on cheek area.
4) Patients remaining perio is WNL.
Questions : To regain the attached: Is your think slow oath extrusion of #11
and #13 with possible tissue augmentation as well ? What would you suspect the cause of specifically the gingival tissues of 11 & 13 ?


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2 Comments

Steve; To me this is clearly flap necrosis? What type of flap was utilized here for implant placement? The irrigation and/or scrub may have been the cause here. Possibly caustic or astringent to surrounding tissues. I would do nothing and wait 2-3 months. Then update us with a new image. regards Dr. S


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Thanks "Mo" ..... love the forum! Will be back.


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