Subgingival air polishing

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Figure 1. Disposable tip (“Perio-Flow”) with three horizontal outlet openings for the air-powder mixture and a vertical outlet opening for water.

Figure 2a. 8 mm pockets on 12 and 22 with a mobility of 2 + on 12 were found at the initial consult in 2011.

Figure 2b. Initial x-ray.

Figure 2c. Periodontal abscess with purulent exudate on 43.

Figure 2g. Absence of inflammation in 12 during the ODF treatment.

Figure 2h. X-ray of 12 during the ODF treatment.

Figure 2i. Periodontal maintenance with supra-gingival air polishing. The handpiece is oriented with an angle of 30° to 60° at a distance of 4 mm (according to the recommendations of the EMS).

Figure 2j. The remaining deep pockets (larger than 4 mm) are treated by spraying powder (“Plus”) and tips (“Perio-Flow”).

Figure 3a-b. Initial situation: Purulent discharge in the vestibule of 12 and 22 and significant perio pockets in the palatine areas.

Figure 3c. Initial long cone results showing the presence of subgingival tartar and a significant osseous alveolysis.

Figure 3d-e. Absence of gingival inflammation and reduction of periodontal pocket one year after periodontal treatment.

Figure 2d-f. One year after the start of the initial periodontal therapy, the disease has been brought under control. A temporary restraint was put in place to secure 12 to 13. Orthodontic treatment could then begin under good con

Figure 3f. Long cone x-ray results at + one year.

Figure 4a-b. Retroalveolar x-rays at the initial consultation. Note the advanced bone loss distal to 47 and at the level of 36.

Figure 4c-d. X-rays in January 2014, six months after periodontal cleaning and night mouth guard.

Figure 4e-f. Situation one year after the start of periodontal and occlusal therapy. The very good response of bone lesions initially observed in 47 and 36 can be observed.

Figure 5a-b. Probing through the fistula, as well as distal to the implant. No infectious episode has so far been reported by the patient.

Figure 5c. Bone loss distal to the implant.

Figure 5d. Spraying particles deep into the pocket with the tip (“Perio-Flow”).

Figure 5e. Healing of the fistula after treatment.

Figure 5f. Stability on bone level at + 1 year.

Figure 6a. Periimplantitis with purulent discharge.

Figure 6b. Significant bone loss as well as the absence of bone walls distal to 46.

Figure 6c. Treatment by “Perio-Flow” and powder (“Plus”).

Figure 6d. Three months post treatment.

Figure 7c. Appearance of the gingiva 15 days after treatment.

Figure 7a. Bleeding on probing of the peri-implant mucosa found during a maintenance appointment. Figure 7b. Treatment by “Perio-Flow” during the same session.

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