Background
Peri-implantitis is a common condition, but no particular treatment protocol has shown to be definitively effective. Fat tissue in the oral cavity is widely available and easily accessed. The aim of the current presentation is to present a novel technique in the treatment of peri-implant lesion, utilizing free fat tissue graft from the buccal fat pad.
Aims
The aim of the current presentation is to present a novel technique in the treatment of peri-implant lesion, utilizing free fat tissue graft from the buccal fat pad.
Methods
Free fat tissue graft(FFG) was harvested from the buccal fat pad(BFP) in 8 patients, and used with bone substitutes to regenerate 22 peri-implant lesions. Mechanical debridement of the implants surface and the granulation tissue was made with/out Er, YAG Laser. Clinical parameters such as: plaque index, bleeding on probing, pocket depth, gingival recession and the clinical attachment level were recorded as a base line and during the follow up period. In addition, radiological evaluation was made pre-operative and during the follow up period.
Results
The donor site of the free fat graft was healed without cosmetic disturbance in all the patients. 22 peri-implant lesions were followed up for 22 months. Bleeding on probing and the pocket depth were significantly improved, and the clinical attachment level was achieved and maintained during the follow up period due to the fibrous healing of the free fat graft. Satisfactory esthetic and functional outcomes of the treated implants were achieved and maintained.
Conclusions
Free buccal fat graft(FBFG) heals by fibrosis. The fibrotic tissue adheres strongly to the implant surface and withstand the recurrence of the peri-implant lesion, and provides stable and predictable outcomes.
Background
Peri-implantitis is a common condition, but no particular treatment protocol has shown to be definitively effective. Fat tissue in the oral cavity is widely available and easily accessed. The aim of the current presentation is to present a novel technique in the treatment of peri-implant lesion, utilizing free fat tissue graft from the buccal fat pad.
Aims
The aim of the current presentation is to present a novel technique in the treatment of peri-implant lesion, utilizing free fat tissue graft from the buccal fat pad.
Methods
Free fat tissue graft(FFG) was harvested from the buccal fat pad(BFP) in 8 patients, and used with bone substitutes to regenerate 22 peri-implant lesions. Mechanical debridement of the implants surface and the granulation tissue was made with/out Er, YAG Laser. Clinical parameters such as: plaque index, bleeding on probing, pocket depth, gingival recession and the clinical attachment level were recorded as a base line and during the follow up period. In addition, radiological evaluation was made pre-operative and during the follow up period.
Results
The donor site of the free fat graft was healed without cosmetic disturbance in all the patients. 22 peri-implant lesions were followed up for 22 months. Bleeding on probing and the pocket depth were significantly improved, and the clinical attachment level was achieved and maintained during the follow up period due to the fibrous healing of the free fat graft. Satisfactory esthetic and functional outcomes of the treated implants were achieved and maintained.
Conclusions
Free buccal fat graft(FBFG) heals by fibrosis. The fibrotic tissue adheres strongly to the implant surface and withstand the recurrence of the peri-implant lesion, and provides stable and predictable outcomes.
Background
Peri-implantitis is a common condition, but no particular treatment protocol has shown to be definitively effective. Fat tissue in the oral cavity is widely available and easily accessed. The aim of the current presentation is to present a novel technique in the treatment of peri-implant lesion, utilizing free fat tissue graft from the buccal fat pad.
Aims
The aim of the current presentation is to present a novel technique in the treatment of peri-implant lesion, utilizing free fat tissue graft from the buccal fat pad.
Methods
Free fat tissue graft(FFG) was harvested from the buccal fat pad(BFP) in 8 patients, and used with bone substitutes to regenerate 22 peri-implant lesions. Mechanical debridement of the implants surface and the granulation tissue was made with/out Er, YAG Laser. Clinical parameters such as: plaque index, bleeding on probing, pocket depth, gingival recession and the clinical attachment level were recorded as a base line and during the follow up period. In addition, radiological evaluation was made pre-operative and during the follow up period.
Results
The donor site of the free fat graft was healed without cosmetic disturbance in all the patients. 22 peri-implant lesions were followed up for 22 months. Bleeding on probing and the pocket depth were significantly improved, and the clinical attachment level was achieved and maintained during the follow up period due to the fibrous healing of the free fat graft. Satisfactory esthetic and functional outcomes of the treated implants were achieved and maintained.
Conclusions
Free buccal fat graft(FBFG) heals by fibrosis. The fibrotic tissue adheres strongly to the implant surface and withstand the recurrence of the peri-implant lesion, and provides stable and predictable outcomes.
Background
Peri-implantitis is a common condition, but no particular treatment protocol has shown to be definitively effective. Fat tissue in the oral cavity is widely available and easily accessed. The aim of the current presentation is to present a novel technique in the treatment of peri-implant lesion, utilizing free fat tissue graft from the buccal fat pad.
Aims
The aim of the current presentation is to present a novel technique in the treatment of peri-implant lesion, utilizing free fat tissue graft from the buccal fat pad.
Methods
Free fat tissue graft(FFG) was harvested from the buccal fat pad(BFP) in 8 patients, and used with bone substitutes to regenerate 22 peri-implant lesions. Mechanical debridement of the implants surface and the granulation tissue was made with/out Er, YAG Laser. Clinical parameters such as: plaque index, bleeding on probing, pocket depth, gingival recession and the clinical attachment level were recorded as a base line and during the follow up period. In addition, radiological evaluation was made pre-operative and during the follow up period.
Results
The donor site of the free fat graft was healed without cosmetic disturbance in all the patients. 22 peri-implant lesions were followed up for 22 months. Bleeding on probing and the pocket depth were significantly improved, and the clinical attachment level was achieved and maintained during the follow up period due to the fibrous healing of the free fat graft. Satisfactory esthetic and functional outcomes of the treated implants were achieved and maintained.
Conclusions
Free buccal fat graft(FBFG) heals by fibrosis. The fibrotic tissue adheres strongly to the implant surface and withstand the recurrence of the peri-implant lesion, and provides stable and predictable outcomes.