A 51 year old healthy woman comes to the office with complaints of discomfort in the 6th sextant area and a bad taste in the mouth. In the intraoral evaluation it was observed that the implant of tooth #45 (29) presents abundant suppuration and the complementary exams showed a high level of bone loss with exposure of about two thirds of the implant surface. Peri-implantitis appeared to result from the accumulation of food between the implant and an existing carie in the distal area of the root of tooth #44 (28), beneath an existing crown.
Removal of the old bridge over implants #45 (29)/#47 (31), flap opening, removal of granulation tissue, cleaning and disinfection of the implant surface. The extraction of #44 (28) with immediate implant and immediate load followed by the placement of the old bridge sterilized in the autoclave during the surgery time. 4 months post-op, a final crown will be made on the new implant #44 (28).