Türk Periodontoloji Derneği 51. Uluslararası Bilimsel Kongresi ve 29. Bilimsel Sempozyumu, Antalya, Türkiye, 6 - 09 Kasım 2022, ss.1, (Özet Bildiri)
Dental implants are generally successful, but complications such as implant loss can occur. Some common causes of implant failure include failure of osseointegration, implant fractures, excessive loading, positioning errors, and peri-implantitis. When implants are removed, treatment options include using a removable prosthesis or performing re-implantation.
This case report aims to detail the removal of failed implants due to peri-implantitis and the provision of hard and soft tissue support to ensure that the new implants can meet the patient's functional, aesthetic, and phonetic needs.
Method: A 62-year-old systemically healthy female patient presented to the Gazi University Faculty of Dentistry with discomfort in her implants. After a thorough examination, it was decided to remove three implants in the mandible. One month after the removal of the implants, the alveolar crest was corrected, and adequate width for implant placement was achieved using a bone condenser appliance. Following this, the implants were placed, and the bone collected during the alveolar crest correction was ground up and used as an autogenous graft. Two months later, a free gingival graft was applied around the implants to increase the amount of keratinized gingiva. Healing caps were then placed at the end of the second month.
Conclusion: The removal of failed implants due to peri-implantitis, followed by re-implantation with appropriate hard and soft tissue support, resulted in the patient achieving adequate function and phonation.