When bone loss is present around an implant, advanced diagnosis and treatment are necessary. As a first step, excess cement should be ruled out. Ultrasonic scalers should not be used on the titanium oxide surface of an implant. A decision should be made whether to approach bone loss surgically. If surgery is to be performed, a decision whether to attempt bone regeneration must be made.
KeywordsExcess cement Avoid ultrasonic instruments Maintain the Ti oxide layer Non-regenerative surgery Regenerative surgery
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