AI CAD/CAM Digital & Aesthetics Dental ConfEx I 40th Edition

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CBCT-confirmed bone regeneration following non-surgical dual-wavelength laser therapy for advanced peri-implantitis

Abstract

Advanced peri-implantitis associated with extensive circumferential bone loss and Grade III implant mobility is generally considered to have a poor prognosis, with explantation often regarded as the most predictable treatment option. Whether peri-implant bone support can be biologically re-established through a strictly non-surgical laser protocol, without grafting materials, remains insufficiently documented.

Learning Objectives

  • Describe the clinical characteristics and CBCT findings of advanced peri-implantitis associated with extensive bone loss and Grade III implant mobility.
  • Explain the biological rationale for combining Er,Cr:YSGG laser decontamination with 940 nm photobiomodulation in a non-surgical treatment approach.
  • Discuss the clinical protocol used for laser-assisted management of a severely compromised implant without grafting materials or membranes.
  • Interpret the clinical and CBCT findings that documented peri-implant bone re-establishment and long-term implant stability during the 24-month follow-up.
  • Evaluate the potential indications, limitations and clinical implications of biologically driven laser-assisted therapy in the management of advanced peri-implantitis.
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