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首页> 外文期刊>Case Reports in Dentistry >Decontamination Using a Desiccant with Air Powder Abrasion Followed by Biphasic Calcium Sulfate Grafting: A New Treatment for Peri-Implantitis
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Decontamination Using a Desiccant with Air Powder Abrasion Followed by Biphasic Calcium Sulfate Grafting: A New Treatment for Peri-Implantitis

机译：使用干燥剂和空气粉末擦洗剂进行去污，然后进行两相硫酸钙嫁接：一种治疗种植体周围炎的新方法

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摘要

Peri-implantitis is characterized by inflammation and crestal bone loss in the tissues surrounding implants. Contamination by deleterious bacteria in the peri-implant microenvironment is believed to be a major factor in the etiology of peri-implantitis. Prior to any therapeutic regenerative treatment, adequate decontamination of the peri-implant microenvironment must occur. Herein we present a novel approach to the treatment of peri-implantitis that incorporates the use of a topical desiccant (HYBENX), along with air powder abrasives as a means of decontamination, followed by the application of biphasic calcium sulfate combined with inorganic bovine bone material to augment the intrabony defect. We highlight the case of a 62-year-old man presenting peri-implantitis at two neighboring implants in positions 12 and 13, who underwent access flap surgery, followed by our procedure. After an uneventful 2-year healing period, both implants showed an absence of bleeding on probing, near complete regeneration of the missing bone, probing pocket depth reduction, and clinical attachment gain. While we observed a slight mucosal recession, there was no reduction in keratinized tissue. Based on the results described within, we conclude that the use of HYBENX and air powder abrasives, followed by bone defect grafting, represents a viable option in the treatment of peri-implantitis.
机译：种植体周围炎的特征是植入物周围组织的炎症和颅骨缺失。种植体周围微环境中有害细菌的污染被认为是种植体周围炎病因的主要因素。在进行任何再生治疗之前，必须对植入物周围的微环境进行充分的净化处理。本文中，我们介绍了一种治疗种植体周围炎的新方法，该方法结合使用局部干燥剂（HYBENX）和气粉磨料作为去污手段，然后应用双相硫酸钙与无机牛骨材料相结合扩大骨内缺损。我们重点介绍了一个62岁的男人在位置12和13的两个相邻种植体上出现种植体周围炎的情况，他们接受了通路皮瓣手术，然后进行了手术。经过平稳的2年愈合期后，两种植入物在探查中均无出血，缺失的骨几乎完全再生，探查囊袋深度减小和临床附着增加。尽管我们观察到了轻微的粘膜凹陷，但角质化组织没有减少。根据其中描述的结果，我们得出结论，在种植体周围炎的治疗中，使用HYBENX和气粉磨料，然后进行骨缺损移植是可行的选择。

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