A 56 year old male patient, non-smoker, with controlled diabetes, presented profound periimplantitis on 9 out of 10 2-stage implants. One implant had already been partly removed due to the disease. (Fig. 1) After removing the bar in the lower jaw, a severe granulation infection all along the curvature of the mandible became fully visible. (Fig. 2)
All implants except the fragment in the lower jaw were removed. In the upper jaw, they were immediately replaced by Strategic Implant®. 36 was removed due to mobility. 47 was stable. In non-infected sites in the lower jaw, 5 Strategic Implant® were placed in three strategic positions to allow the settlement of a fixed temporary bridge. 47 was included into this bridge. The plan is to replace this bridge and add more implants after 3 - 9 months.
Reported from: OSA Simpladent, Montenegro, www.simpladent.me
Fig. 5: Within 2 days, the case was restored mith metal-acryl bridges.