Abstract:

The increasing incidence of peri-implantitis has spurred both scientific and clinical research aimed at gaining a deeper understanding of this complex pathology and developing more effective treatment strategies. Among the various surgical treatment options, implantoplasty has attracted growing attention. This technique involves the removal of both macro- and micro-structures, such as threads and surface treatments, from the exposed implant surface using rotary instruments. It has been traditionally associated with resective procedures but this presentation will demonstrate how implantoplasty, when used alone, can promote bone repair and, when combined with regenerative techniques, can be part of a combined treatment approach. Long-term clinical results will be presented, showing that, in all situations, implantoplasty emerges not only as an adjunct but also as a potentially indispensable component of comprehensive peri-implantitis treatment strategies. However, concerns regarding technical difficulties, the potential dispersion of titanium particles, and the risk of implant fracture have been raised. These critical issues will also be addressed.

Learning objectives:

1. Learn how to treat efficiently the failing implant
2. Understand the potential of implantoplasty
3. Know which instruments are best suited for this technique
4. Identify situations where it is advantageous to combine implantoplasty and regenative techniques