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International Journal of Implant Dentistry
Fig. 3 | International Journal of Implant Dentistry

Fig. 3

From: Hard and soft tissue regeneration of severe peri-implantitis defects with the laser-assisted peri-implant defect regeneration technique: 3-year results

Fig. 3

a Severe peri-implantitis lesion with suppuration and an insufficient width of the keratinized mucosa. b Implant surface decontamination with the Er:YAG laser. c Hard and soft tissue grafting according to the LAPIDER technique. d Periosteal suturing to cover the autogenous grafts. e Uneventful healing 9 months after LAPIDER surgery, but still without a sufficient zone of attached mucosa. f 3-year follow-up examination after an additional apically positioned flap with FGG. g Severe interproximal bone loss at pre-operative examination. h Radiograph at 3-year follow-up examination reveals significant vertical bone regeneration. i Severe buccal and lingual bone loss at baseline. j CB-CT at 3-year follow-up examination shows a pronounced buccal and lingual bone regeneration

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