Dr. Isaac Reed

Managing early peri-implantitis: What we learned

Case study of a patient who developed soft tissue inflammation 6 months post-placement. What we did, what worked, and what we'd do differently. **Timeline:** - Month 6: Patient reported bleeding on brushing around #19 implant - Initial BOP: 4 sites positive - Bone loss: 1.5mm from baseline **What we tried:** 1. Mechanical debridement + CHX irrigation 2. Modified oral hygiene protocol 3. 3-month recall shortened to 6-week **Outcome:** Stabilized at 12 months, no further bone loss. **What I'd change:** Earlier intervention—should have flagged the mild bleeding at month 4 recall.