To evaluate the effectiveness of the LAPIP™ protocol in treating peri-implantitis and to assess radiographic changes using AI analysis.
Approach:
Patient Evaluation: A 48-year-old female patient with bleeding on probing, suppuration, and progressive bone loss around a maxillary implant was assessed.
Treatment Protocol: The LAPIP™ protocol using the PerioLase® MVP-7™ laser was selected for minimally invasive treatment after identifying retained cement as a potential inflammatory source.
Postoperative Monitoring: The patient was maintained in a provisional restoration while healing was monitored over 1 year, with radiographic changes evaluated using AI software.
Key Findings:
Retained subgingival cement may serve as a persistent inflammatory source contributing to peri-implant bone loss.
The minimally invasive LAPIP protocol enables effective peri-implantitis treatment with minimal postoperative discomfort.
AI-assisted evaluation demonstrated substantial improvement in peri-implant bone levels between preoperative and 1-year postoperative imaging.
Interpretation:
The study emphasizes the need to evaluate retained cement in failing cement-retained restorations and demonstrates the effectiveness of the LAPIP protocol in promoting peri-implant tissue health.
Limitations:
The study is based on a single patient case, limiting generalizability.
Long-term outcomes beyond 1 year were not assessed.
Conclusion:
The LAPIP protocol effectively treated peri-implantitis with favorable outcomes, and AI analysis provided objective assessment of bone changes.