To visualize our channel: www.youtube.com/user/acteonsatelec Non contractual document - Ref. Illustrations by Carole Fumat. (1) ombelli A, et al. The epidemiology of peri-implantitis. Clinical Oral Implants Research 23 M (Oct 2012): 67-76 (2) uropean Workshop on Periodontology 1994. E (3) oda Y. Optimal materials of the ultrasonic scaler tip for debridement of microstructured Y fixture surface of dental titanium implant - Poster EAO Rome Sept 2014 (4) indhe J, Meyle J. Peri-implant diseases: Consensus Report of the Sixth European L Workshop on Periodontology. J Clin Periodontol. 2008 Sep;35(8 Suppl):282-5. (5) lemmig TF, Arushanov D, Daubert D, Rothen M, Mueller G, Leroux BG. Randomized F controlled trial assessing efficacy and safety of glycine powder air polishing in moderateto-deep periodontal pockets. J Periodontol. 2012;83:444–452. (6) uirynen M., De Soete M, Boschmans G, Pauwels M, Coucke W, Teughels W, van Q Steenberghe D. Benefit of ‘‘one-stage full-mouth disinfection’’ is explained by disinfection and root planning within 24 hours: a randomized controlled trial. J Clin Periodontol 2006; 33: 639-647. D08011 – V4 – 01/2017 - Copyright © 2015 ACTEON® – All rights reserved. No information or part of this document may be reproduced or transmitted in any form without the prior permission of ACTEON®. SATELEC S.A.S. A company of ACTEON Group 17 av. Gustave Eiffel BP 30216 33708 MERIGNAC cedex FRANCE Tel + 33 (0) 556 34 06 07 Fax + 33 (0) 556 34 92 92 E-mail : [email protected] www.a

Over the last twenty years, the intensification of implant therapy led to an increasing prevalence of peri-implant disease. ^ In 2012 Monbelli estimated that it affected 20% of patients and 10% of implants(1). ^ Today it is considered the leading cause of implant morbidity. • Peri-implantitis is a destructive inflammatory process which affects the hard and soft tissues around osseo-integrated implants leading to the formation of a peri-implant pocket with bone loss. • Mucositis, the first stage of the disease, results in the presence of inflammation of the mucosa around a functional implant,...

Plastic Tips ü Scaling of superstructures. ceramic crowns, PerioSoft tips eliminate biofilm and poorly adherent On deposits while preserving prosthetic surfaces. • H1, with universal curette shape, P for the treatment of the anterior area. • H2L & PH2R, left and right-oriented P for the treatment of posterior areas. Diagnosis with Soprocare in perio mode Clinical case, Dr. B. SALSOU - France Deposits removal on restauration Clinical case, Dr. A. PHILIPPAKIS - France ü Debridement of the healing screws. The PerioSoft tips help maintain healthy implant-prosthesis seal or healing screw without altering...

PERIO Maintenance and SUPRA 120° nozzles PREVENTION Air polishing makes it possible to control bacterial flora and prevent the presence of tissue inflammation around the implant. ü The PERIO Maintenance nozzle is used exclusively with AIR-N-GO "PERIO" powder, which is glycine-based to delay a new accumulation of plaque and soft deposits on the implant neck. PERIO Maintenance nozzle • dentifiable by its laser marking. I • educed consumption of R AIR-N-GO "PERIO" powder particles. • ction against the progression A of peri-implant diseases. • Tool suitable for any supra gingival prophylactic treatment...

NON-SURGICAL TREATMENT OF PERI-IMPLANTITIS Pure Titanium Tips ü Debridement of the implant neck and first exposed threads. T he IP1 tip makes it possible to remove the biofilm and organic deposits on all the upper surfaces of the implant: implant neck, abutment, and in wide threads. W ith the curvature of the IP2 and IP3 tips and the tactile sense, all the threads can be reached and treated, even without visibility. CLINICAL SIGNS - Pockets < 5mm - Peri-implant tissue hyperplasia - leeding and suppuration B when probing • IP1: tip with the widest extremity, intended for implant abutment and wide-tread...

PERIO Easy ü Routine debridement around the implant neck to prevent any contamination around the spires. The PERIO easy nozzle is routinely used after the removal of supra-gingival deposits using ultrasonic tips. Air, water and "PERIO" powder mixture chamber Positioning of the PERIO easy nozzle for ablation of sub-gingival plaque. X-ray showing the positioning of the nozzle up to the bottom of the sulcus. Clinical case, Dr. G. GAGNOT - France PERIO easy nozzle Spatula for an easy insertion into periodontal and peri-implant pockets and a targeted cleaning PERIO easy nozzle Ref. F10126 • 0° angle...

ü After removing the crown the PERIO nozzle makes it possible to maintain good hygiene of the implant abutment area without altering the surfaces. Air, water and “PERIO” powder mixture chamber Removal of smooth deposit Clinical case, Dr. A. PATEL - U.K. PERIO nozzle • epth marking 3-6-9mm for D qualitative pocket evaluation during the treatment. Spray side deflector • Powerful double side spray. • Decontamination of deep pockets. TREATMENT OF PERI-IMPLANTITIS WITH MODERATE POCKETS ü The first stage consists of probing, cleaning and debriding the pockets with ImplantProtect ultrasonic tips. ü...

PERI-IMPLANTITIS MANAGEMENT CLINICAL CASE In July 2014, the implant on 33 is removed, and tooth 32 is extracted. During the removal surgery, the surfaces of the implants in 34 and 31 (distal) are treated with the ImplantProtect Pure Titanium tips and decontaminated with AIR-N-GO "PERIO" glycine-based powder. The implant on 34 has a bone loss of 1 thread. A patient suffers from an alveolysis on teeth 31 and 41. After extracting both teeth, and setting up an immediate removable prosthesis, the patient requests implant therapy. In 2008, five implants are placed on the 41, 31, 34, 35 and 36. Periodontal...