Clinical case (ibrush)
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Transcript of Clinical case (ibrush)
![Page 1: Clinical case (ibrush)](https://reader038.fdocuments.net/reader038/viewer/2022110200/55c1a54fbb61eb3b198b45e5/html5/thumbnails/1.jpg)
Management of an advanced peri-implantitis
Author Dr. Young-Ku Heo, DDS, MDS, PhD
Director of Global Academy of Osseointegration Seoul, Korea
Clinical case (Case presentation & Movie)
![Page 2: Clinical case (ibrush)](https://reader038.fdocuments.net/reader038/viewer/2022110200/55c1a54fbb61eb3b198b45e5/html5/thumbnails/2.jpg)
Severe bone resorption, gingival inflammation & recession around implant #46.
![Page 3: Clinical case (ibrush)](https://reader038.fdocuments.net/reader038/viewer/2022110200/55c1a54fbb61eb3b198b45e5/html5/thumbnails/3.jpg)
Flap was reflected to clean the contaminated implant surface. Large bone defects were found.
![Page 4: Clinical case (ibrush)](https://reader038.fdocuments.net/reader038/viewer/2022110200/55c1a54fbb61eb3b198b45e5/html5/thumbnails/4.jpg)
Each contaminated implant thread was cleaned by i Brushing with copious water for 3 minutes. (2000RPM)
![Page 5: Clinical case (ibrush)](https://reader038.fdocuments.net/reader038/viewer/2022110200/55c1a54fbb61eb3b198b45e5/html5/thumbnails/5.jpg)
With i Brushing, deep below the crestal area may be cleaned.
![Page 6: Clinical case (ibrush)](https://reader038.fdocuments.net/reader038/viewer/2022110200/55c1a54fbb61eb3b198b45e5/html5/thumbnails/6.jpg)
New rough surface has been created. i Brushing is only recommended for 1 to 3 exposed threads, as it takes 3 minutes for each thread.
![Page 7: Clinical case (ibrush)](https://reader038.fdocuments.net/reader038/viewer/2022110200/55c1a54fbb61eb3b198b45e5/html5/thumbnails/7.jpg)
Laser treatment was additionally applied to the surface to eliminate remaining plaques or harmful toxins. (Optional)
![Page 8: Clinical case (ibrush)](https://reader038.fdocuments.net/reader038/viewer/2022110200/55c1a54fbb61eb3b198b45e5/html5/thumbnails/8.jpg)
Tetracycline was applied for detoxification for 5 minutes.
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The autogenous bone was harvested using ACM drill at 50rpm without water. Available in http://www.neobiotechus.com/index.php/products-12/gbr-solutions/acm.html
![Page 10: Clinical case (ibrush)](https://reader038.fdocuments.net/reader038/viewer/2022110200/55c1a54fbb61eb3b198b45e5/html5/thumbnails/10.jpg)
Harvested bone chips were applied to the defect.
![Page 11: Clinical case (ibrush)](https://reader038.fdocuments.net/reader038/viewer/2022110200/55c1a54fbb61eb3b198b45e5/html5/thumbnails/11.jpg)
The wound closure was achieved with suture.
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Postoperative radiographic view.
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1 year postop. Soft tissue around implants has been maintained without any inflammation signs.
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1 year follow of crestal bone level shows no further bone loss.