Repair of Osseous Defect on Implant #5 Secondary to Occlusal Overload
By Dr. Daniel Haghighi, DDS on May24, 2022
A 70 y.o.a. patient presented for an emergency exam with a chief complaint of pain around the peri-implant tissues of implant #5. On exam, sulcular pus and buccal edematous tissue were associated with implant #5. Radiographically, #5 implant exhibited coronal bone loss and classic “cupping” associated with occlusal overload. The diagnosis was peri-implant disease secondary to occlusal overload. The treatment consisted of debridement, disinfection, and g.b.r in and around the peri-implant tissues of implant #5. The clinical objectives in treating peri-implant disease consist of 1. removing the cause of the disease; 2.management of osseous and soft tissue defects.
Solea was used with the .75 mm spot size, 40% cutting speed and 100% mist for several minutes, non-continuously. The implant surface was lightly “brush-stroked” with the laser beam. The bony crypt was aggressively ablated. Laser application continued until both fields were visually free of granulation tissue. Solea allowed the practitioner to choose a power level that removed diseased, edematous tissues (water content) while not removing healthy bone or significantly altering the surface of the implant (both with less water content). In addition, Solea’s ability to vary water mist during the procedure (or just simply have water mist during the procedure) allowed for the clearing of the area visually, which is important.
These cases can be challenging at best. Solea offers several clinical advantages. It is ideal for rapid and thorough tissue removal especially in hard to reach areas. Solea also provides an excellent way to preliminarily disinfect the implant surface. Used with 100% mist, it will keep the implant surface cool. This setting also promotes excellent perfusion from the bony crypt of the defect and bone bed of the g.b.r site.
Solea is less invasive/destructive and more effective than traditional mechanical debridement
Solea significantly reduces procedure times
Solea clears the surgical field visually due to continual air and water spray for fast and confident completion of procedures
Solea power and spot size can be adjusted to precisely target diseased tissues
Solea debrides and disinfects the surfaces of prosthetics with minimal/no damage
Solea allows for the preservation of healthy tissues for improved treatment outcomes