A 54-year-old female with seasonal allergies, who was taking Zyrtec, had two dental implants placed 15 years ago in sites 19 and 20. Recently she developed pain and bleeding around the implants.
Upon clinical examination, a 10 mm probing with suppuration was noted. Radiographs showed no bone loss, so the lesion was diagnosed as severe mucositis (figure 1). However, upon surgical entry, bone loss was noted.
This video shows how the lesion was treated with a 9.3-micron CO2 laser along with hard-tissue grafting and bio-PRF growth factors.