Resumo

LORENZO VIGNAU, R.; SANZ CASADO, J.V.; MARTINEZ CORRIA, R.  e  BASCONES MARTINEZ, A.. Surgical trearment of periimplantitis by modified Widman flap: detoxification of the periimplantary surface Vs modification of the surface. Avances en Periodoncia [online]. 2006, vol.18, n.2, pp.75-82. ISSN 2340-3209.

Introduction: The late failiure of the implants make us design new therapeutic strategies for solving the bone lost around the implants in long term (periimplantitis). It is presented a surgical approach that preserve the marginal tissues (modified Widman flap) in two pacients one of them treated with a modification of the implant roughtness: implantoplasty (test) and other case with detoxification of the surface with clorhexidine (control). Material and Methods: 2 Women that present clinical signs of inflamation, supuration, bleeding on probing, probing depth >6mm and evidece of radiographic bone lost. Results: in both cases the was a reduction of the inflamatories clinical signs a 3 and 6 months and a reduction of the probing depth. Conclusion: The surgical approach with modified Widman flap it is an effective approach for the treatment of the horizontal defects around the implants with a minimal trauma mantaining the gingival aesthetic.

Palavras-chave : Periimplantitis; Recession.

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