PERI-IMPLANT MUCOSITIS: TREATMENT WITH A NEW COLLAGEN HYDROGEL

A new collagen hydrogel in the treatment of peri-implant mucositis

Peri-implant mucositis is a peri-implant disease that is characterized by initial, reversible gingival inflammation located in the peri-implant soft tissues without loss of bone structure. The main clinical feature of peri-implant mucositis is bleeding after gentle probing. The article presents the case of a 64-year-old patient who, during a recall visit, showed bleeding on probing at the level of the implant at position 25 and a pocket depth of 5 mm at both mesial and distal levels. The subsequent periapical radiograph showed no bone loss and confirmed the diagnosis of peri-implant mucositis. The latter was treated non-surgically with a new collagen hydrogel (H42®, Bioteck Spa, Arcugnano – Vicenza) following removal of the bacterial plaque using an Er: YAG laser.

Following mechanical treatment, the site was kept dry during the application of the hydrogel, which was extruded directly from the syringe through appropriate 25-gauge cannula needle, starting from the bottom of the pocket and filling it up to the gingival margin. At this point, the site was kept dry for 5 minutes through the use of a high-speed aspirator, and the patient was discharged without restriction in oral hygiene or feeding. Follow-ups at 1 week and 3 months showed significant improvement in the clinical condition of the site, reduction of pocket depth from 5 mm to 3 mm and to 1 mm, on the mesial and distal aspect, respectively. The improvement of periodontal parameters was associated with complete healing of peri-implant tissues.

PRODUCTS USED: H42

The article “PERI-IMPLANT MUCOSITE: TREATMENT WITH A NEW COLLAGENIC HYDROGEL” by author Dr. Marisa Roncati was first published in the April 2024 issue of Hygiene Tribune (Dental tribune).