The 77-year-old patient presented to Dr. Lynn Harasty, a periodontist in Rutland VT, on March 13, 2018. His medical history includes asthma and Obstructive Sleep Apnea (OSA) for which he is using an oral sleep appliance. He reported taking the following medications: Simvastatin, Symbicort, Picoair HFA, Aspirin 81 mg, Zoloft, and Omeprazole.
His main concern was his implant at #31. With 50% bone loss, 11mm probing depth, purulent drainage and heavy bleeding on probing, she scheduled him for Laser Assisted Peri-Implantitis Protocol (LAPIP) on May 15, 2018. On August 18, 2018, the patient returned to the office with thick, heavy purulent drainage on buccal and lingual palpation for implant #31 and was concerned with occasional bad taste in the mornings. She offered LAPIP retreatment, which was completed that day. On October 28, 2019 at the third LAPIP evaluation, the x-ray showed significant bone fill, however purulent drainage on probing was back again, so she recommended LAPIP retreatment and Perio Protect. The patient chose to proceed with LAPIP.