Surgical approach to peri-implantitis: case series of regenerative treatment protocol

Authors

  • E. Deliverska Department of Dental, Oral and Maxillofacial Surgery, Faculty of Dental Medicine, Medical University – Sofia, Bulgaria Author https://orcid.org/0000-0002-2356-9932
  • B. Yordanov Center of Dental Implantology, Faculty of Dental Medicine, Medical University – Sofia, Bulgaria Author https://orcid.org/0000-0002-8136-6578
  • G. Hadjiev Department of Dental, Oral and Maxillofacial Surgery, Faculty of Dental Medicine, Medical University – Sofia, Bulgaria Author
  • Z. Pashova-Tasseva Department of Periodontology, Faculty of Dental Medicine, Medical University – Sofia, Bulgaria Author https://orcid.org/0000-0002-2635-083X

DOI:

https://doi.org/10.2478/AMB-2025-0078

Keywords:

bone regeneration, peri-implantitis, surgical treatment

Abstract

The implementation of dental implants has revolutionized the treatment of the partially and completely edentulous patients, offering significant benefits in restoring oral function and esthetics. However, routine dental implant placement is often associated with complications such as peri-mucositis and peri-implantitis, which can compromise the long-term success of the implant. One of the primary challenges in managing peri-implant diseases is the absence of acute symptoms, often leading to delayed detection and diagnosis by the patient. As peri-implant diseases progress, patients may seek dental care due to the exacerbation of symptoms, prompting the dentist to consider surgical intervention. Surgical therapy offers a critical opportunity to restore compromised implants and peri-implant tissues, potentially improving implant survival rates. The surgical management of peri-implantitis, which involves debridement, decontamination, and regenerative procedures, provides an effective alternative for addressing the infected peri-implant tissues and can contribute to long-term implant stability and function.

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Published

10.12.2025

How to Cite

Deliverska, E., Yordanov, B., Hadjiev , G., & Pashova-Tasseva, Z. (2025). Surgical approach to peri-implantitis: case series of regenerative treatment protocol. Acta Medica Bulgarica, 52(4), 63-71. https://doi.org/10.2478/AMB-2025-0078