Dr. Dragana Rakašević, Prof. Dr. Aleksa Markovic, Dr. Iva Mijailovic, Dr. Tijana Misic
Prosthetic work: Prof. Dr. Miodrag Scepanovic

The initial diagnosis revealed a peri-implant pocket depth (PPD) of 8 mm together with evident bleeding on probing (BOP). The radiographic and intra-operative examination confirmed a circumferential bone defect with a bone loss of approximately 2 mm. The too buccally position of the implant was considered one of the possible risk factors for the onset of peri-implantitis. PPD reduced to 3 mm six months post-surgery and one year after the treatment the clinical outcome was found stable (PPD of 3.5 mm) without sings of further bone loss or BOP. Further, keratinized mucosa width and thickness significantly increased one year after surgery. Three months postoperatively, the patient received a new screw-retained implant-supported crown. Additionally, the patient received a new full ceramic crown due to the absence of interproximal contact between premolars.

The „Case Of The Month“ highlights every month a clinical case, which distinguished itself by the clinical results or the treatment concept in combination with the applied botiss biomaterials. The selection of the case is based on content relevance and quality of the documentation.