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Blue Curved Tubes
Effective Removal of Inflammatory Tissue Using i-Brush II in Peri-Implantitis Treatment

Case Summary 🔎

Diagnosis

#46 Peri-implantitis caused inflammation and bone loss around an implant.


Treatment Plan

Peri-implantitis at #46 was addressed using the i-brush II for debridement and disinfection.


Results

  • i-brush II was used to remove inflammation around the implant and to treat the implant surface, resulting in the formation of a machined surface for improved biocompatibility and healing.

  • Before & After

# 46 Peri-implantitis & After treatment

Products Used

The i-Brush II by Neobiotech was utilized for peri-implantitis treatment, providing effective cleaning and transformation of the contaminated implant surface into a new machined surface. Its design and functionality make it an excellent tool for implant care.

  • Effective Cleaning: Titanium bristles ensure thorough debridement of implant threads.

  • Flexible Design: A flexible stem allows easy access to narrow cavities and hard-to-reach areas.

  • Surface Transformation: Creates a new machined surface by mechanically debriding the contaminated implant.

  • Precision Tip: Titanium alloy tip is designed to reach thread pockets and decontaminate inter-thread spaces.

  • Recommended Speed: Operates best at 2,000–10,000 rpm.

Case Presentation

1️⃣ Pre-Op

The panoramic image revealed peri-implantitis at #46, characterized by inflammation and bone loss around the implant, which was diagnosed and treated using an i-brush II.


2️⃣ Surgery - Peri-Implantitis Treatment

  • fig 1. #46 Peri-implantitis caused inflammation and bone loss around an implant.

  • fig 2, 3. Removed inflammation around #46 implant using i-brush II.

  • mov 1. Each site requires at least 1 minute of i-Brush II rotation to achieve a clean, machined surface. (1:1 contra-angle low-speed handpiece 5,000-10,000 RPM)


  • fig 4. The transformation into a machined surface was confirmed by its shiny appearance.

  • fig 5. The machined surface was treated with minocycline around the fixture and rinsed thoroughly with saline.


  • fig 6. The peri-implantitis-treated site typically has limited expectations for successful grafting; however, Neo Bone (alloplast, 100% cortical) was grafted to support potential bone formation.

  • fig 7. A layer of synthetic bone (DM Bone - HA 6: B-TCP 4) was applied on top.


  • fig 8. Subsequently, the area was covered with a Collaguide membrane to protect the graft

  • fig 9. The completed appearance after suturing.


3️⃣ Post-Op

  • Before & After: Periapical X-rays


  • Before & After: Panoramic X-rays

  • 5 month follow-up


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