For the next 20 months, the patient uses water pik with complaint of pain when water touches the affected area.  The buccal plate looks concave with a mesiobuccal fistula.  The bone loss persists (Fig.8).  The implant (7x14 mm) will be removed.  The 5 mm unipost has been cemented with Ketac.  A narrow UF implant will be placed in the mesial wall of the original osteotomy (Fig.9 green).  The remaining distal defect will be filled with Osteogen plug (black area) before bone graft (red circles) being placed immediately to the implant.

Bone Graft for Periimplantitis

Xin Wei, DDS, PhD, MS 1st edition 11/01/2017, last revision 03/04/2018