Using the case of a patient suffering from peri-implantitis, a demonstration is provided as to how the individual instruments are to be used in order to achieve optimum cleaning.

To provide access to the damaged areas as well as a clear overview, the implants affected by peri-implantitis are first exposed across a wide area through preparation of a mucoperiosteal flap. The implant surfaces are cleaned using an ultrasonic device with a Teflon-coated attachment, and hard calculus removed using curettes. The powder/water jet device is then used to apply glycine powder to the implant areas affected by peri-implantitis.

When working in this way, the position of the nozzle must be adjusted continuously using small movements. Once the flap has been repositioned and sutured, the areas affected by peri-implantitis and the adjacent teeth are cleaned again using glycine powder. By treating the tissue defect in the peri-implant area as gently as possible, the progression of bone loss can be prevented.