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Peri-Implantitis Treatments in Milton Keynes



Peri-Implantitis is an infectious disease that causes an inflammatory process in the soft and hard tissues surrounding an osseointegrated implant, leading to the loss of supporting bone.


Bone, for a variety of reasons, is lost around the dental implant. This condition generally occurs without the patient being aware of it. There are many factors on why this can happen.

Some dental implants on some patients will develop bone loss which can happen very early after having the crown put on the implant or it can happen many years down the road.



Dental implants are fantastic, but nothing is without risks. If your dentist tells you they are 100% successful and have no problems ever, I would suggest seeking another opinion.

Risk Factors

•Tobacco use
•Poorly controlled systemic conditions (e.g., diabetes mellitus, osteoporosis, post-irradiated jaws)
•History of periodontitis and noncompliance to treatment
•Poor oral hygiene
•Parafunctional habits (e.g., bruxism)
•Iatrogenic factors (e.g., lack of primary stability and premature loading during the healing period)

Signs

•Progressive increase in probing depth
•Suppurations (Pus) and exudation from peri-implant space
•Bleeding on probing
•Clinical appearance of inflamed tissue (bleeding, swelling, colour change, suppuration, and
plaque/calculus accumulation)
•Progressive loss of supporting bone on follow-up radiographs (Figs. 1 and 2): loss of supporting bone beyond 0.2 mm annually, after the expected physiologic remodelling.
•Metal thread exposure
Long tooth

Symptoms

Most patients are unaware that they have bone loss around the dental implant. Peri-implantitis generally progresses in a painless fashion. Once it is established, you may begin to develop symptoms.

•Not always symptomatic
•Pain severity: typically none
•May have dull aches, tenderness on brushing or palpation
•Bad taste: potentially noticeable if there are purulent exudates
•Increasing mobility (in cases of a failed implant)
•Lymphadenopathy

Treatment

The long-term goals are to stop the progression of the disease and maintain the implant site. Depending on the etiology of the problem, a specific treatment is selected. Appropriate management of peri-implantitis often requires referral to a periodontist.



Treatment Options include:

Control the acute bacterial infection and reduce the inflammation in the tissues through:
Mechanical debridement
Localized and/or systemic antimicrobial therapy
Improved patient compliance with oral hygiene until a healthy peri-implant site is established
Detoxify the implant surface by using mechanical devices (e.g., high pressure air powder abrasive, laser decontamination) and/or by applying chemotherapeutic agents
Perform flap management with either (or both) resective and regenerative approaches, depending on the morphology and size of the bone destruction.

Our Peri-Implantitis Treatment Team in Milton Keynes

Dr Aaron Lopez, Specialist Periodontist

GDC registration: 190495
Lic Odont Oviedo 2008,
M.Sc in Periodontology Specialist Periodontist




Dr Aaron Lopez offers a full range of Periodontal treatments as well as simple and complex Implant Treatments

Aaron's expertise covers all aspects of periodontal care and management, and gum surgeries, He is a very friendly clinician and has years of experience in both teaching dental students and fellow professionals.

Aaron has extensive experience in treating advanced gum disease in the UK, Sweden and Spain, his experience includes all the major surgical procedures.

Employment History

Clinica Dental Opera. Work focused on aesthetic treatments. Oviedo, Spain. June 2008 - November 2009
Clinica San Lorenzo working as a general dentist. Gijon, Spain. September 2009 – August 2010
Clinica Dental Cuervo. Endodontic treatment exclusively. Oviedo, Spain. October 2009 - December 2009
Bond Street Dental Care working as a general dental practitioner (GDP). Wakefield, UK. September 2010 – August 2012
Specialist Clinic in Periodontology. Sahlgrenska Academy. Gothenburg, Sweden. January 2013 – January 2016
Clinica Dolores Garcia. Lugo. Spain. Periodontist. January 2016 - up to date

Education

Bachelor of Dental Surgery. Oviedo University. Spain. September 2003 - June 2008
Diploma in advanced Endodontic treatments. Santiago de Compostela University. Spain. 2008 - 2009
Diploma in Advanced Periodontology. Complutense University. Madrid. Spain. 2012
M.Sc in Periodontology. Gothenburg University. Sweden. January 2013 - January 2016

Membership of Professional Bodies

Member of the General Dental Council (number: 190495). Included in the Specialist list of periodontics
Member of the Swedish Dental Association. Included in the Specialist list of periodontics
Member of Medical Protection Society (number: 468687)
Member of the Spanish Dental Association (number: 27001219)
Member of the Scandinavian Society of Periodontology
Member of the Spanish Society of Periodontology
Member of the European Society of Periodontology

Awards

2013. Sveriges Allmänna Utrikeshandelsförening. Stockholm. Sweden Scholarship of the Swedish-Spanish Foundation for the Promotion of Education and Studies.
2014. Sveriges Allmänna Utrikeshandelsförening. Stockholm. Sweden

Periodontal Examination with Dr Aaron Lopez
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Periodontal Surgery and Treatments with Dr Aaron Lopez
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To make an appointment please ring 01908 690326 or email us on Aaron@MKDentalcare.com
Click to Download Periodontal Referral Pack

Dr Giovanni Marras, Practice Limited to Periodontics

GDC registration: 253205
Practice Limited to Periodontics




Dr Giovanni Marras offers a full range of Periodontal treatments, and is available on both Saturdays and Sundays

Giovanni's expertise covers all aspects of periodontal care and management, and gum surgeries, He is an extremely approachable clinician.

Giovanni has extensive experience in treating advanced gum disease in the UK, Isle of Mann and Italy, his experience includes all the major surgical procedures.

Employment History

Dentist June 2015 to Present

Tracey Bell Dental
Castletown, Douglas (Isle of Man) !

Periodontal Disease Treatment Experience

• Wide experience in the Treatment of Aggressive Periodontitis;
• Wide experience in Microbiological tests when needed;
• Wide experience in the Performing Non Surgical Periodontal Therapy;
•Wide experience in the Re-evaluating and deciding the need of Surgical Therapies;
• Wide experience performing Resective Therapy;
• Wide experience performing Regenerative Therapy;
• Wide experience performing Conservative Therapy;
• Wide experience performing Gingivectomy;
• Wide experience performing, assessing and treating Endo-Perio Lesions;
• Wide experience performing crown lengthening procedures;

EDUCATION

Bachelor (Honours) Degree in Dentistry. University of Sassari Grade: 1st.

Graduation thesis: Implant restoration of edentulous jaws with 3D software planning, guided surgery, immediate loading and CAD/CAM full-arch frameworks. A prospective case series study.

Periodontal Examination with Dr Giovanni Marras
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Periodontal Surgery and Treatments with Dr Giovanni Marras
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To make an appointment please ring 01908 690326 or email us on Giovanni@MKDentalcare.com
Click to Download Periodontal Referral Pack

Dr Monica Cueva Moya, Practice with Special Interest in Periodontics.

GDC registration: 218518
Dentist with Special Interest in Periodontics




Dr Monica Cueva Moya offers a full range of Periodontal treatments, and is available 5 days a week.

Monica has been with us almost since we opened the practice and is a very experienced dentist. She has built us a large following of patients who love her gentle but thorough approach, as well as an eye for detail.

Monica is currently doing her Master degree in Periodontology at the dental school in London

Periodontal Examination with Dr Monica Cueva Moya
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Periodontal Surgery and Treatments with Dr Monica Cueva Moya
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To make an appointment please ring 01908 690326 or email us on Monica@MKDentalcare.com
Click to Download Periodontal Referral Pack

Dr Ezgi Cilingir, Practice Limited to Periodontics

GDC registration: 262933
Practice Limited to Periodontics


Employment History

Dr Ezgi Cilingir is a very Professional Experienced dentist who has extensive knowledge of periodontology, restorative dentistry, dental surgical procedures and state-of-the art techniques. She has worked both as a general dentist/periodontist with both local and international patients for 10 years in some of the best and busiest private hospitals, practices and university clinics.

Qualifications and Degrees

PhD, Periodontology (2004-2010) Thesis Topic: Er:YAG lasers versus ultrasonic and hand instruments in periodontal therapy: clinical parameters, intracrevicular micro-organism and leukocyte counts. Istanbul University, Istanbul, Turkey

Publications

Malali (Cilingir) E., Kadir T. and Noyan U. (2012) Er:YAG lasers versus ultrasonic and hand instruments in periodontal therapy: clinical parameters, intracrevicular micro-organism and leukocyte counts, Photomedicine and Laser Surgery, 30(9):543-50. doi: 10.1089/pho.2011.3202

Oktay S., Basar I., Emekli-Alturfan E., Malali (Cilingir) E., Elemek E., Ayan F., Koldas L., Noyan U. and Emekli N. (2011) Serum and saliva sialic acid in peri-odontitis patients with and without cardiovascular disease, Pathophysiol Haemost Thromb. 2010;37(2-4):67-71. doi: 10.1159/000321377

Emekli-Alturfan E., Basar I., Malali (Cilingir) E., Elemek E., Oktay S., Ayan F., Emekli N. and Noyan U. (2011) Plasma tissue factor levels and salivary tissue factor activities of periodontitis patients with and without cardiovascular disease, Patho-physiol Haemost Thromb. 2010;37(2-4):77-81. doi: 10.1159/000323418

Malali (Cilingir) E., Basar I., Emekli-Alturfan E., Elemek E., Oktay S., Ayan F., Emekli N. and Noyan U. (2010) Levels of C-reactive protein and protein C in pe-riodontitis patients with and without cardiovascular disease, Pathophysiol Haemost Thromb. 2010;37(1):49-54. doi: 10.1159/000318189

Periodontal Examination with Dr Ezgi Cilingir
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Periodontal Surgery and Treatments with Dr Ezgi Cilingir
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To make an appointment please ring 01908 690326 or email us on Ezgi@MKDentalcare.com
Click to Download Periodontal Referral Pack

Our Implant team

We have 5 Implant surgeons, Dr Jaime De Castro Torres, Dr Iyad Abou-Rabii, Dr Álvaro De Castro Torres, Dr Aaron Lopez and Dr Ezgi Cilingir.






The team has, between them, many years of experience in both the straight forward and the more complex implant cases including full mouth reconstructions

The team has a wide experience of the simple and complex case and carries out all the procedures including any preliminary work like Sinus lifts and other Oral Surgery Procedures.

The team between them has placed considerably more than 2000 implants and continue to place 100's of implants a year

At least one member of the team is available EVERY day of the week.