Treatment Modalities of Surgical Management of Peri- Implantitis: Case Reports

Peri-implantitis, Dental implants, Guided tissue regeneration, Connective tissue graft, Bone graft, Peri-implant soft tissue management.

1*
Dr Gunjan Gupta
Head of Department
Department of Periodontology
ITS Dental College and Research Centre,
Greater Noida, Uttar Pradesh, India. Mail:
drgunjangupta22@gmail.com
ORCHID ID: https://orcid.org/0000-00019436-6895
2
Dr Sanskriti Singh
Postgraduate Student
Department of Periodontology
ITS Dental College and Research Centre,
Greater Noida, Uttar Pradesh, India. Mail:
singhsans008@gmail.com
ORCHID ID: https://orcid.org/0009-00072144-7767
3
Dr Kanika Aggarwal
Postgraduate Student
Department of Periodontology
ITS Dental College and Research Centre,
Greater Noida, Uttar Pradesh, India. Mail:
kanikaaggarwal623@gmail.com
ORCHID ID: https://orcid.org/0009-00023295-8929
4
Dr Shivesh Mishra
Professor
Department of Periodontology
ITS Dental College and Research Centre,
Greater Noida, Uttar Pradesh, India Mail:
mishrashivesh@gmail.com
ORCHID ID: https://orcid.org/0000-00015264-1027
5
Dr Nishant Gupta
Head of Department
Department
of
Orthodontics
and
Dentofacial Orthopedics
Teerthanker Mahaveer Dental College and
Research Centre, Moradabad, Uttar
Pradesh, India
Mail: nishantgupta2001@gmail.com
ORCHID ID: https://orcid.org/0000-00021791-7224
6
Dr Ankita Chaudhary
Senior Lecturer
Department of Periodontology
ITS Dental College and Research Centre,
Greater Noida, Uttar Pradesh, India. Mail:
anki.131295@gmail.com
ORC.HID ID: http.s://.orcid org/0000-00027066-1846 .

European Journal of Prosthodontics and Restorative Dentistry (2026) 34 (04s), 630-635

Treatment Modalities of
Surgical Management of
Peri- Implantitis: Case
Reports

Purpose: Peri-implant complications such as peri-implant bone loss and soft tissue recession can compromise both the functional stability and esthetic outcome of dental implants .The present case reports highlights the successful management of peri-implant defects using a combination of regenerative and mucogingival surgical procedures aimed at restoring periimplant hard and soft tissue health. Methods: In the first case, a 29-year-old male patient reported mobility associated with an implant in relation to 31, accompanied by peri-implant inflammation and deep peri-implant probing depths. Radiographic examination demonstrated considerable peri-implant bone loss. Following phase I therapy, surgical treatment was carried out with implant surface decontamination followed by regenerative therapy using a synthetic bone graft (NovaBone) and a guided tissue regeneration membrane (CollaGuide). Soft tissue closure and defect adaptation were achieved using a double papilla flap technique. In the second case, a 35-year-old female patient presented with buccal implant exposure in relation to 13, resulting in compromised esthetics. A connective tissue graft (CTG) procedure was performed to increase peri-implant soft tissue thickness and obtain coverage of the exposed implant surface. Results: Both cases exhibited favorable healing outcomes during follow-up evaluations. Reduction in peri-implant inflammation, improvement in periimplant tissue architecture, enhanced soft tissue stability, and satisfactory esthetic integration were observed. Radiographic and clinical assessments demonstrated successful management of the peri-implant defects with improved tissue health and patient satisfaction. Conclusions: The combined use of regenerative and mucogingival surgical techniques offers a predictable and effective approach for the treatment of peri-implant defects. Appropriate management of both hard and soft tissues can significantly improve peri-implant stability, tissue health, and esthetic outcomes, thereby enhancing the long-term prognosis of implant-supported restorations.

Received-22-05-2026 Revised-20-06-2026 Accepted-25-06-20.26

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