Publication

Abstract : For managing peri‐implantitis, a variety of treatment modalities involving both surgical and nonsurgical methods including implantoplasty have been proposed. Implants that are placed in a free fibula flap are more prone to peri‐implantitis due to the absence of firm, keratinized mucosa. Prosthetic design that offers adequate hygiene access should be designed whenever possible; otherwise, it may lead to the accumulation of plaque or biofilm that may lead to peri‐implant diseases. Implantoplasty, which is performed in advanced peri‐implantitis cases that cause exposure of implant threads, has been proposed as a reliable approach to preventing progressive peri‐implant bone loss by modifying the exposed implant surface. This clinical report details the management of severe peri‐implant bone loss in a maxilla reconstructed with a free fibula flap by combining soft tissue management, implantoplasty, and prosthetic rehabilitation.