Treating peri-implant mucositis with AquaCare
1. Peri-implant mucositis / early peri-implantitis on 21 is present. This implant is 6 years old. There is bleeding and suppuration. Minor bone loss present that occurred in a year.
2. The issues come and go for the last year or so. Periodontist has been managing this and the perio but a sudden flare-up has come on the 21. This is a new tip that was sent by Velopex to try on their machine for interproximal cleaning, and I realised it would fit in this pocket.
3. Used with sodium bicarbonate to flush out the area. This was then flushed with Chlorhexidine, flushed again with sodium, and one last CHX intrasulcular.
To evaluate the effectiveness of a high-pressure sodium bicarbonate spray protocol to decontaminate implant surfaces intentionally inoculated with bacteria.
MATERIALS AND METHODS:
Twenty commercially pure titanium implants, 10 with machined surfaces and 10 with rough surfaces, were inoculated with Streptococcus sanguis and then submitted to a decontamination protocol using a high-pressure sodium bicarbonate spray device for 1 minute under aseptic conditions.
After the application of the decontamination protocol, all bacterial cells were removed from the tested implants, regardless of surface roughness.
The results suggest that regardless of the implant surface roughness, the protocol using high-pressure sodium bicarbonate spray for 1 minute, under aseptic conditions, was effective in removing all the viable bacterial cells.
5.This is a radiograph from around 2015.
6.This is today. Loss is evident on the distal. Radiograph orientation is a bit off but tells the point. There is one from 2016 but I don’t have a digital copy. Stable since first DX in 2016 radiographically.
Subject to location