Peri-implantitis Treated by an Antimicrobial and Regenerative Approach
Clinical Case Report
Clinical Case Report
This case describes the ongoing management of a 64-year-old healthy, non-smoking female patient with erosive oral lichen planus (OLP) affecting the gingivae and the buccal and lingual mucosa. The peri-implant mucosa was also affected subsequent to implant placement. The patient had osseointegrated implants (four in the maxilla, four in the mandible) placed following extraction of hopeless teeth and a healing period. The patient had a history of OLP prior to implant placement and had been referred to an oral-medicine specialist for definitive diagnosis and treatment. She exhibited generalized oral mucosal involvement. Following a clinical assessment, biopsy, and blood tests, she was treated with topical corticosteroids. Systemic prednisolone was reserved for severe flare-ups. Amphotericin lozenges were used in combination with corticosteroid treatment to prevent the development of oral candidiasis.
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