# Application of Hard and Soft Tissue Regenerative Approach in Predictable Management of Peri-Implantitis: A Five-Year Follow-Up Case Report

## TL;DR

This case report shows successful long-term treatment of a dental implant infection using bone and soft tissue regeneration techniques.

## Contribution

A five-year follow-up demonstrating effective hard and soft tissue regeneration for peri-implantitis management.

## Key findings

- Significant bone fill was achieved through guided bone regeneration using autogenous and alloplastic grafts.
- Stable soft tissue was maintained around the implant using the VISTA approach after six months.
- Clinical and radiographic results remained positive over five years.

## Abstract

As implant dentistry expands, the number of implants being placed increases, and so does the prevalence of associated complications, resulting in implant failure if not timely attended. The present case report aims to discuss the successful regenerative management of peri-implantitis by both hard and soft tissue augmentation with a five-year follow-up. A 60-year-old male reported a chief complaint of purulent discharge, 7 mm peri-implant probing depth, and radiographic bone loss with no pathologic mobility of the dental implant. The reflection of the full-thickness flap revealed a circumferential defect. Guided bone regeneration (GBR) was performed using a combination of autogenous and alloplastic bone grafts around the implant site. To maintain the peri-implant marginal bone level, soft tissue augmentation was done using the vestibular incision subperiosteal tunnel access (VISTA) approach, after six months. A five-year follow-up showed a significant bone fill and stable soft tissue around the implant clinically and radiographically.