Dr Dipika Mitra, Dr Aamir Doctor, Dr Amitabh Yadav, Dr Saurabh Prithyani, Dr Silvia Rodrigues, Dr Harshad Vijayakar


Peri-implantitis is an inflammatory process caused by microorganisms affecting the tissues around an osseointegrated implant in function, resulting in loss of supporting bone. The present study compared two treatment modalities for treatment of peri-implantitis.


Aim: To compare the effects of Photodynamic therapy versus conventional therapy in treatment of peri-implantitis.


Materials and method: In this case report two different periodontal treatment modalities were carried out on a 57-year-old male patient presenting with peri-implantitis in the maxillary arch. He received initial non-surgical periodontal treatment followed by photodynamic therapy using laser on left side and conventional surgical therapy on the right side.


Results: Photodynamic therapy with laser showed better results than Surgical therapy.


Conclusion: This case report showed that newer treatment modalities like photodynamic therapy are as efficient a treatment modality for peri-implantitis as conventional surgical therapy.


Peri-implantitis, Photodynamic Therapy, Indocyanine Green.

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Snauwaert K, Duyck J, van Steenberghe D, Quirynen M, Naert I. Time dependent failure rate and marginal bone loss of implant supported prostheses: a 15-year follow-up study. Clin Oral Invest 2000;4:13−20.

Buser D, Weber HP, Donath K, Fiorellini JP, Paquette DW, Williams RC. Soft tissue reactions to non-submerged unloaded titanium implants in beagle dogs. J Periodont 1992;63:225-235.

. Zitzmann NU, Berglundh T. Definition and prevalence of peri-implant diseases. J Clin Periodontol 2008;35:286-291.

. Lindhe J, Meyle J. Peri-implant diseases: Consensus Report of the Sixth European Workshop on Periodontology. J Clin Periodontol 2008;35:282-285.

. Berglundh T, Persson L, Klinge B. A systematic review of the incidence of biological and technical complications in implant dentistry reported in prospective longitudinal studies of at least 5 years. J Clin Periodontol 2002;29:197-212.

. M.Roccuzzo, N.De Angelis, L.Bonino, M.Aglietta. Ten-year results of a three-arm prospective cohort study on implants in periodontally compromised patients. Part I: Implant loss and radiographic bone loss. Clinical Oral Implants Research, 21(5), 2010, 490-496.

. M.A. Atieh, N.H. Alsabeeha, C.M. Faggion Jr., W.J. Duncan. The frequency of peri-implant diseases: a systematic review and meta-analysis. J Periodontol 2013; 84(11):1586-1598.

. Mombelli A. Microbiology and antimicrobial therapy of peri-implantitis. Periodontol 2000 2002;28:177-189.

. Mombelli A, Lang NP. The diagnosis and treatment of peri-implantitis. Periodontol 2000 1998;17:63-76.

. Moritz A, Gutknecht N, Doertbudak O. Bacterial reduction in periodontal pockets through irradiation with a diode laser: A pilot study. J Clin Laser Med Surg 1997;15: 33-37.

. Kimura Y, Yonaga K, Yokoyama K, Kinoshita J, Ogata Y, Matsumoto K. Root surface temperature increase during Er:YAG laser irradiation of root canals. J Endod 2002;28: 76-78.

. Sarkar S, Wilson M. Lethal photosensitization of bacteria in subgingival plaque from patients with chronic periodontitis. J Periodontal Res 1993;28:204-210.

. Soukos NS, Wilson M, Burns T, Speight PM. Photodynamic effects of toluidine blue on human oral keratinocytes and fibroblasts and Streptococcus sanguis evaluated in vitro. Lasers Surg Med 1996;18:253-259.

. Thierbach R, Eger T. Clinical outcome of a nonsurgical and surgical treatment protocol in different types of peri-implantitis: a case series. Quintessence Int 2013; 44:137−148.

. Shingnapurkar SH, Mitra DK, Kadav MS, Shah RA, Rodrigues SV, Prithyani SS. The effect of indocyanine green-mediated photodynamic therapy as an adjunct to scaling and root planing in the treatment of chronic periodontitis: A comparative split-mouth randomized clinical trial. Indian J Dent Res 2016;27:609-17.

. Sicilia A, Noguerol B, Rodríguez ME. Puesta al día en Periodoncia: Periimplantología. Periodoncia 1994;4:12-26.

. Siddiqui SH, Awan KH, Javed F. Bactericidal efficacy of photodynamic therapy against Enterococcus faecalis in infected root canals: a systematic literature review. Photodiagnosis Photodyn Ther 2013;10:632–43.

. Sperandio FF, Huang YY, Hamblin MR. Antimicrobial photodynamic therapy to kill Gram-negative bacteria. Recent Pat Antiinfect Drug Discov 2013;8:108–20.

. Figueiredo Souza LW, Souza SV, Botelho AC. Randomized controlled trial comparing photodynamic therapy based on methylene blue dye and fluconazole for toenail onychomycosis. Dermatol Ther 2014;27:43–7.

. Esposito M, GrusovinMG, De AngelisN, et al. The adjunctive use of light-activated disinfection (LAD) with FotoSan is ineffective in the treatment of peri-implantitis: 1-year results from a multicentre pragmatic randomised controlled trial. Eur J Oral Implantol 2013;6:109–19.


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