Surgical Treatment of Peri-implantitis

There is no reliable evidence suggesting which could be the most effective intervention for treating peri-implantitis and no single method can be promoted based on the evidence. The peri-implant bone defect debridement, methods of implant surface decontamination, and detoxification have been extensively reported in the literature associated with the treatment of peri-implantitis. Autogenous bone or bone substitutes in combination with recombinant growth factors provide an excellent treatment approach. This chapter presents the strategy for the surgical treatment of peri-implantitis. Several decontamination treatments have been shown to promote re-osseointegration compared to control, and no specific procedure has proven superior to others in achieving re-osseointegration. The chapter discusses the goals to be achieved in the surgical treatment of peri-implantitis and presents clinical cases with laser-assisted peri-implantitis therapy.