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Volume 39 , Issue 3
May/June 2019
Pages 415–421

Peri-implant Infection Concomitant with a Flare-up Episode of Chronic Periodontitis: An Unusual Regeneration Following Treatment and a 5-Year Follow-up

Georges Tawil, DDS, D.Sc Od. FICD, FACD/Peter Tawil, DDS, MS, ABP

PMID: 30986291
DOI: 10.11607/prd.3940

Chronic periodontitis progression may go through phases of remission and exacerbation. The possibility of periodontal pathogens translocating from infected periodontal sites to peri-implant sites has been reported. Additionally, a history of periodontal disease seems to be a risk factor for peri-implantitis. The present case reports a flare-up of chronic periodontitis concomitant with an episode of peri-implant infection on a documented stable implant site. Periodontal infection was managed nonsurgically by scaling root planing and antibiotic treatment. Peri-implant infection was treated by open-flap debridement and implant surface decontamination. A remarkable regeneration on the peri-implant defect occurred steadily over a 3-year period, leading to a full regeneration of the site relying exclusively on the individual healing resources.

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