A 44-year-old man is a typical patient with chronic periodontitis (Fig.1).  Periimplantitis develops following immediate implant at #31 (Fig.2 taken after #14,15 intrusion).  The symptom (bleeding) improves after bone graft and use of Water Pik.  Now the tooth #14 appears to be non-salvageable because of gingival hemorrhage and deep pockets after previous osseous surgery.

Halt Periodontitis to Periimplantitis

Xin Wei, DDS, PhD, MS 1st edition 12/19/2016, last revision 08/26/2017