Year :
2025
| Month :
November
| Volume :
19
| Issue :
11
| Page :
ZD05 - ZD08
Full Version
Treatment of Peri-implantitis with Tongue-thrust by Cumulative Interceptive Supportive Therapy Protocol: A Case Report
Published: November 1, 2025 | DOI: https://doi.org/10.7860/JCDR/2025/78578.21949
Dipanshu Hansraj Pahuja, Simran Rajkumar Parwani, Prasad Vijayrao Dhadse, Rajkumar Parwani, Sanehi Devidas Punse
1. Postgraduate Student, Department of Department of Periodontics, V.Y.W.S. Dental college and Hospital, Amravati, Maharashtra, India.
2. Postgraduate Guide and Head, Department of Department of Periodontics, V.Y.W.S. Dental college and Hospital, Amravati, Maharashtra, India.
3. Professor and Head, Department of Department of Periodontics, Datta Meghe Institute of Higher Education and Research, Sharad Pawar Dental College and Hospital, Sawangi (Meghe), Wardha, Maharashtra, India.
4. Assistant Professor, Department of Oral Pathology, V.Y.W.S. Dental College and Hospital, Amravati, Maharashtra, India.
5. Postgraduate Student, Department of Department of Periodontics, Datta Meghe Institute of Higher Education and Research, Sharad Pawar Dental College and Hospital, Sawangi (Meghe), Wardha, Maharashtra, India.
Correspondence Address :
Dr. Dipanshu Hansraj Pahuja,
House No. 213, Kanwar Nagar, Arni Road, Yavatmal-445001, Maharashtra, India.
E-mail: dipanshupahuja1@gmail.com
Abstract
Periimplantitis is an inflammatory condition with soft-tissue inflammation along with subsequent loss of supporting bone around an implant. The present case report portrays the complete diagnosis and treatment of a patient with a loose implant-supported prosthesis. A 23-year-old male patient reported with loosened prostheses with respect to teeth #11 and #21-23. On intra-oral and radiographic examination, the case revealed peri-implantitis with implants related to #21-23. The patient also had a tongue thrust habit, which exerted extra pressure on maxillary anterior implants, causing their loosening. First, nonsurgical treatment, i.e., debridement and disinfection of implants with titanium curettes, was rendered. Surgical treatment was done by CIST Protocol D with soft-tissue diode laser and Calcium phosphosilicate putty bone graft. A habit-breaking appliance, i.e., a tongue crib, was also provided to the patient. Three- and six-month clinical and radiographic follow-up views have portrayed successful re-osseointegration with concerned teeth, resulting in full return of function and fulfilling the patient’s aesthetic demands too.
Keywords
Bone grafting, Curettage, Dental implants, Diode laser, Peri-implant bone defects, Mechanical debridement, Non-surgical approach, Nova bone putty, Suprastructure, Tongue crib
DOI: 10.7860/JCDR/2025/78578.21949
Date of Submission: Feb 13, 2025
Date of Peer Review: Mar 17, 2025
Date of Acceptance: Aug 07, 2025
Date of Publishing: Nov 01, 2025
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. Yes
PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Feb 14, 2025
• Manual Googling: Aug 02, 2025
• iThenticate Software: Aug 05, 2025 (13%)
ETYMOLOGY: Author Origin
EMENDATIONS: 6
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