A clinical technique revisited: treating the peri-implantoclasia of hydroxyapatite-coated subperiosteal implants.

A technique for treating peri-implantoclasia around HA-coated subperiosteal implants is described. Once infection has invaded the HA coating of a subperiosteal implant, it is difficult to eliminate the infection via local curettage or antibiotic treatment. The technique includes: (1) removing the contaminated HA coating from the implant, (2) removing all granulomatous tissue from the affected site, and (3) impelling granulation and secondary intention epithelial from the apex of the lesion up into the oral cavity using the technique of Jermyn. This technique minimizes the resulting pocket depth adjacent to the cervix.