The treatment of peri-implant diseases: a new approach using hybenx® as a decontaminant for implant surface and oral tissues

Abstract

Purpose: The aim of the present study is to demonstrate the efficacy of HyBeNX® to decontaminate the implant surface, both in the case mucositis and severe peri-implantitis and to allow future bone regeneration.

Materials and methods: We describe three case reports of peri-implantitis successfully treated with HyBeNX®. In our study, we have used microbiological tests to demonstrate the efficacy of HyBeNX® in decreasing bacterial load.

Results: The microbiological results of the clinical cases described show that there was a reduction in the total bacterial count after treatment.

Conclusions: The ability of HyBeNX® to dry the surface and remove biofilm may explain the efficacy of the decontamination and subsequent clinical improvements in all three cases.

Keywords: decontamination; hybenx; implant dentistry; mucositis; peri-implantitis.

Figures

Figure 1

Left - Right. Top: pre-operative OPT; endoral X-ray; clinical image showing inflamed tissues around the implant. Bottom: clinical image after debriding, showing significant bone loss before treatment; clinical image immediately after treatment; clinical image taken during 14-day post-operative check-up.

Figure 2

HyBeNX® treatment images for clinical case 1. Left - Right. Top: pre-operative endoral X-ray; measurement of pocket depth (two images); microbiological test #1; HyBeNX® treatment. Bottom: Hy- BeNX® treatment showing fistula; physiological solution rinse; microbiological test #2; clinical image taken during three-month post-operative check-up.

Figure 3

Results of the three microbiological tests for case 1.

Figure 4

Right - Left. Top: initial and final endoral X-rays for case number 2. Bottom: results of the three microbiological tests for case number 2.

Figure 5

Right - Left. Top: pre-operative endoral X-ray; microbiological test #1; HyBeNX® treatment; physiological solution rinse. Bottom: implant surface after decontamination; GRB procedure with granules; GBR procedure with heterologous cortical lamina; microbiological test #2.

Figure 6

Results of the three microbiological tests for case number 3.