Circular bone defect around implant
A 39 year old male comes to drs. Ronald Muts his esthetic practice in Apeldoorn. Around her implant, she has a circular bone defect with a pocket of 9 mm deep. This is a case of peri-implant disease.
Thorough curettage and oxygen therapy
Ronald decided to give her comprehensive oral hygiene instruction and he treated around the implant by thoroughly cleaning it. He used local anesthesia to do this. Additionally, he decided to start the TOOth protocol. This means: daily brushing, rinsing and topically applying with active oxygen.
New bone growth after one year
When the patient returns after one year, Ronald saw new bone growth in both horizontal and vertical direction. The pocket reduced from 9 to even 4 mm! There was no more redness and swelling. The soft tissue fits tightly around the implant.
Steady situation after two years
Two years later, the patient is still treated by drs. Muts. The implant and surrounding tissue looks good and there is no more loss of bone. There is even a small pocket reduction to 3 mm. The patient still follows the TOOTh guidelines and uses oxygenated products on a daily basis. Thanks to the oxygen, there is no more peri-implantitis.
Since his graduation in 1984 (Dentistry, Amsterdam), Drs. Muts has specialized in oral surgery, Invisalign and ceramic implant. He was one of the first to work with blue®m and has written several articles about topical oral oxygen therapy. Besides that, he regularly lectures about active oxygen and supplements. Drs. Muts is working in his family practice MP3 Tandartsen in Apeldoorn, the Netherlands.