Based on a high level of success, dental implant therapy has become a preferred means of treatment for a wide variety of oral problems related to historic or impending tooth loss. Peri-implantitis is a biologic complication that can threaten the survival of dental implants. Many systematic reviews and meta-analyses that have evaluated the varying treatment options available to manage this problem suggest that dental implants have questionable to poor prognoses when the bone loss becomes moderate to advanced. This article presents two case reports that demonstrate successful treatment of peri-implantitis. A commonality in both cases was the implementation of thorough surface decontamination and ablation of soft tissues for residual bacteria or particulate matter.
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