2.OPG showing 2 implants near to each other and close to sinus
-what defect u see in Xray?
-the pt complain of pain ,halitosis what is the cause?
-what is your rx ?
Therefore, adjunctive peri-implant therapies, such as antibiotics, antiseptics,
and ultrasonic and laser treatments, have been proposed to improve the non-
surgical treatment options of peri-implant mucositis and peri-implantitis.
Regenerative procedures using a bone graft substitute in combination with a
membrane have been proposed to treat bone defects in advanced cases of peri-
If there is advanced bone loss and the implant cannot be saved, it has to be
removed. If a decision has been made to remove the implant, explantation
trephines are available to suit the implant system concerned. It should be noted
that these trephines have an external diameter of up to 1.5 mm greater than
the diameter of the implant to be removed. Thus, explantation may be
associated with significant bone removal including buccal or lingual bone
cortices, and damage to adjacent natural teeth where the inter-radicular space
is limited. An alternative approach is to allow progressive bone loss from peri-
implantitis to occur, resulting in sufficient bone loss to allow for the removal of
the implant with extraction forceps. Implants may be removed by forceps when
there is less than 3 to 4 mm of residual bone support
Dent Res J (Isfahan).
2012 Sep-Oct; 9(5): 516
PMCID: PMC3612185Management of peri-