Periodontal patient, 62 years old, smokes 10 cigarettes a day, suffers from diabetes and hypertension. Patient came for a check-up and the dentist observed inflamed tissue around his implants and bone loss in the same area. Two surgical interventions were performed to treat the infection without significant results until finally it was decided to extract the central implant. The last photograph (Image C4:5) shows the healing process at 7 days, after using a hyaluronic acid mouthwash with a concentration of 0.2%, 3 times a day for a week.
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Image C4:1 Pre-Operative
Severe peri-implant inflammation with hypertrophy, oedema of the tissues around implants replacing teeth 24,25,26.
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Image C4:2 Pre-Operative
After removal of the implant super-structure.
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Image C4:3 Surgical
Exposure of the implants.
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Image C4:4 Immediately Post-Operative
After removal of the peri-implant inflamed tissue and placement of 0.025% solution of hyaluronan prior to wound closure and suturing with interrupted sutures.
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Image C4:5 7 Days Post-Operative
Healing has been remarkably rapid with no bleeding or inflammation visible and good wound closure and re-establishment of normal ketartinised gingival tissue at the surgical site.
