Swelling around Implant

66 y/o male presented with a swelling of 1 year’s duration associated with an implant in the area of tooth 44. The patient wears a mandibular partial denture and has implants irt 44 & 45. The patient complained of an unstable mandibular partial denture causing frequent soft tissue ulceration. Excluding the gingival swelling, the soft tissue ulcers healed when the partial denture was left out. This swelling was not painful but the size and color were of concern to the patient. Also of note was that the lesion easily bled with irritation, especially while brushing. Valuable suggestions needed.

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Periimplant mucocitis. Adv-Amclaid 625mg Tid, tab metrogyl 400mg TID, topical metrogel.Re-evaluate after 1 week. Manual curettage can be done with titanium coated currete . Adv Iopa and keep a check on Blood sugar level. Also advocate proper brushing technique as lesion can agrrevate by inadvertent trauma during brushing.
SUGGESTIVE. OF PERI IMPLANTITIS.... DISINTEGRATED ...BONE. SURFACE.. AROUND IMPLANT
Peri implantitis Peri implan mucositis Traumatic injury Antibiotics Analgesics Take iopa
IT'S A..CASE OF.. ? PERI-IMPLANTITIS.. ? PERI-IMPLANT MUCOSITIS..
Tnx Dr Kausar Yadwad
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Tab O2 twice daily for 5days after meals Tab Zerodol SP twice daily for 5days after meals Tab Rablet D once daily for 5days before meals Apply Metrohex DG gel thrice daily for 7 days Chlorhexidine mouthwash twice daily for 14 days Warm saline rinses between meals
If patient is alcoholic or has consumed same within 15 days DO NOT take O2 as it has life threatening reaction instead take Moxikind CV
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Is the implant mobile?