Clinical case

Clinical case presented by Dr. Roccuzzo Italy

Clinical case by Dr. Mario Roccuzzo using NiTi Brush for peri-implantitis, view 1
Clinical case by Dr. Mario Roccuzzo using NiTi Brush for peri-implantitis, view 2

Implant surface under SEM, before and after

Before SEM image at ×10,000 of a contaminated implant surface before debridement
Not cleaned surface (×10,000, SEM)
After SEM image at ×10,000 of the implant surface after debridement with the NiTi Brush
Cleaned surface by NiTi Brush (×10,000, SEM)

Surface after debridement intra-operative

The exposed threads before treatment, and the same implant once the contaminated layer has been removed with the NiTi Brush — the surface returns to a bright, machined finish.

Before Exposed implant threads with peri-implantitis, before debridement
Exposed threads, contaminated
After The same implant after debridement with the NiTi Brush, threads clean and bright
Debrided with NiTi Brush
Before Three adjacent implants with contaminated, exposed threads before debridement
Three adjacent implants, threads exposed and contaminated
After The same three implants after debridement with the NiTi Brush, threads bright and machined
After debridement with NiTi Brush — bright, machined threads
Before Posterior site with peri-implant defect before debridement
Posterior site, flap raised
After The same posterior site after debridement with the NiTi Brush
After debridement with NiTi Brush

Clinical case presented by Prof. Baek-Soo Lee

Department of Oral and Maxillofacial Surgery, Kyung-Hee University, Seoul, Korea.

CBCT sagittal section before treatment, showing the peri-implant bone defect
Before — sagittal section
CBCT 3D reconstruction before treatment, the implant showing through the thin buccal plate
Before — 3D reconstruction
CBCT sagittal section after treatment, the implant encased in regenerated bone
After — sagittal section
CBCT 3D reconstruction after treatment, with the buccal contour restored
After — 3D reconstruction

Clinical case 01

Removing the crown
Remove crown
Removing the abutment
Remove abutment
Checking the pocket with a probe
Check the pocket
Flap open
Flap open
Using the NiTi Brush
Using NiTi Brush
Debridement of the implant surface using the NiTi Brush
Debridement the implant surface using NiTi Brush
Guided bone regeneration
GBR

GBR sequence

Guided bone regeneration step
Guided bone regeneration step
Guided bone regeneration step
Guided bone regeneration step
Guided bone regeneration step
Guided bone regeneration step
Guided bone regeneration step

Presented by Dr. Frederick Li Vancouver, Canada

Guided bone regeneration
GBR

Clinical case 02

Peri-implantitis, clinical presentation
Peri-implantitis
Probing the pocket at the centre
Pocket in the center
Probing the pocket on the left
Pocket in the left
Probing the pocket on the right
Pocket in the right
Additional pre-operative view
Flap open
Flap Open
Debridement using the NiTi Brush with irrigation
Debridement using NiTi brush & irrigation
Finishing using a membrane
Finishing using membrane
Additional post-operative view
Additional post-operative view

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