{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T23:41:45Z","timestamp":1780616505654,"version":"3.54.1"},"reference-count":40,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,8,9]],"date-time":"2024-08-09T00:00:00Z","timestamp":1723161600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aap.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Adv Periodontics"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Peri\u2010implantitis poses significant challenges in clinical practice, necessitating effective therapeutic strategies. This case report presents a comprehensive treatment approach for managing peri\u2010implantitis, focusing on resective surgery, including implantoplasty and long\u2010term maintenance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We describe the case of a 50\u2010year\u2010old female patient with peri\u2010implantitis affecting a maxillary full\u2010arch implant\u2010supported rehabilitation. The treatment strategy involved resective surgery with implantoplasty, a new maxillary overdenture, and a regular maintenance care schedule of three to four visits per year. Clinical and radiographic assessments were performed over a 10\u2010year follow\u2010up period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Post\u2010treatment, all maxillary implants demonstrated no probing depths exceeding 4\u00a0mm, absence of bleeding on probing or suppuration, minimal plaque accumulation, and no further bone loss. Resective surgery with implantoplasty seems to have effectively provided submucosal decontamination and created a supra\u2010mucosal implant surface conducive to oral hygiene. Despite regular maintenance, some mandibular implants exhibited bone loss during the follow\u2010up period and were managed using the same approach as for the maxillary implants.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The comprehensive treatment approach yielded favorable long\u2010term clinical and radiographic outcomes, underscoring the effectiveness of the combined strategies in managing peri\u2010implantitis. Nevertheless, the potential for recurrence or the development of peri\u2010implantitis in new implants, even after a decade of successful treatment and strict maintenance, highlights the importance of ongoing, diligent care and regular evaluations to promptly diagnose and address these issues.<\/jats:p><\/jats:sec><jats:sec><jats:title>Key points<\/jats:title><jats:p><jats:bold>Why is this case new information?<\/jats:bold>\n<jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>The long\u2010term effectiveness of peri\u2010implantitis treatments, particularly involving implantoplasty, remains under\u2010documented. This case provides insights from a 10\u2010year follow\u2010up on the efficacy of a comprehensive approach for managing peri\u2010implantitis. Furthermore, these findings illustrate the potential for new peri\u2010implantitis to develop, regardless of sustained peri\u2010implant health and rigorous maintenance. This finding highlights the critical role of continuous monitoring for the early diagnosis and treatment of new implants exhibiting peri\u2010implantitis.<\/jats:p><\/jats:list-item>\n<\/jats:list><\/jats:p><jats:p><jats:bold>What are the keys to the successful management of this case?<\/jats:bold>\n<jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>The success of this case hinged on a comprehensive treatment approach that combines surgical intervention associated with implantoplasty to remove implant threads, thereby creating smoother surfaces, less retentive for plaque accumulation. A critical aspect of this approach was also the redesign of prosthetic components to improve hygiene accessibility, continuous monitoring, and consistent maintenance care.<\/jats:p><\/jats:list-item>\n<\/jats:list><\/jats:p><jats:p><jats:bold>What are the primary limitations to success in this case?<\/jats:bold>\n<jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>The primary challenge in achieving success in this case was the prevention of new implants with peri\u2010implantitis, despite the patient's consistent adherence to the maintenance program. Moreover, a critical evaluation of implant characteristics, particularly their susceptibility to mechanical failures, is paramount when performing implantoplasty. Furthermore, aligning patient expectations with the realistic esthetic and functional outcomes of the treatment is often challenging.<\/jats:p><\/jats:list-item>\n<\/jats:list><\/jats:p><\/jats:sec><jats:sec><jats:title>Plain language summary<\/jats:title><jats:p>Peri\u2010implantitis, an inflammatory disease affecting dental implants, is quite challenging to treat. This case report describes how a 50\u2010year\u2010old woman with this condition was successfully treated and maintained over 10 years. The approach included a surgical method called resective surgery, which involved reshaping the bone defect (osteoplasty) and smoothing the implant surface (implantoplasty). Additionally, she was fitted with a new upper denture and had regular follow\u2010up visits three to four times a year. After ten years, her upper implants were stable with no signs of infection or further bone loss, and they were easy to keep clean. Some of her lower implants did experience inflammation with progressive bone loss during this time, but they were managed using the same surgical procedure as for her upper implants. This 10\u2010year case report highlights positive and stable clinical results after resective surgery for treating peri\u2010implantitis and the importance of an interdisciplinary approach and regular check\u2010ups for maintenance, early diagnosis, and management of peri\u2010implantitis over the long term.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cap.10310","type":"journal-article","created":{"date-parts":[[2024,8,9]],"date-time":"2024-08-09T07:17:43Z","timestamp":1723187863000},"page":"229-237","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Ten\u2010year follow\u2010up after peri\u2010implantitis treatment using resective surgery: A case report"],"prefix":"10.1002","volume":"15","author":[{"given":"Jo\u00e3o Batista","family":"C\u00e9sar Neto","sequence":"first","affiliation":[{"name":"Division of Periodontics Department of Stomatology School of Dentistry University of S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabella Neme Ribeiro","family":"dos Reis","sequence":"additional","affiliation":[{"name":"Division of Periodontics Department of Stomatology School of Dentistry University of S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafael Oliveira","family":"Lazarin","sequence":"additional","affiliation":[{"name":"Division of Periodontics Department of Stomatology School of Dentistry University of S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadja","family":"Naenni","sequence":"additional","affiliation":[{"name":"Department of Reconstructive Dentistry Center of Dental Medicine University of Zurich  Zurich Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina Cunha","family":"Villar","sequence":"additional","affiliation":[{"name":"Division of Periodontics Department of Stomatology School of Dentistry University of S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudio Mendes","family":"Pannuti","sequence":"additional","affiliation":[{"name":"Division of Periodontics Department of Stomatology School of Dentistry University of S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,8,9]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12957"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-017-2276-y"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12292"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/prd.12417"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.2010.01540.x"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/cap.10186"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.13499"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0501.2004.01084.x"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0501.2006.01318.x"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.11607\/prd.3386"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.21-0103"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.13335"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.11607\/jomi.2014suppl.g5.3"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.13138"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1902\/cap.2015.150035"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.7453\/gahmj.2013.008"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12954"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.12227"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.13287"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.13822"},{"key":"e_1_2_9_22_1","first-page":"S21","article-title":"Treatment of peri\u2010implantitis: what interventions are effective? 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