A Retrospective Analysis of Implants Immediately Placed in Sites With and Without Periapical Pathology in Sixty‐Four Patients

Fugazzotto, Paul A.

doi:10.1902/jop.2011.110016

Cited by 52 publications

(76 citation statements)

References 11 publications

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“…The result reflects and confirms the hypothesis that endosteal implants can be successfully integrated in infected sites. However, alveolar ridge resorption after the tooth extraction is a frequent occurrence and may significantly reduce the residual bone volume [23][24][25][26][27][28]. This study is a proof of principle that sockets can heal naturally with immediately placed implants in infected sites and tissue shrinkage can be reduced by utilizing least invasive surgical and prosthetic protocol.…”

Section: Introductionmentioning

confidence: 77%

“…Since then, this treatment modality has received much attention in the literature [13] Fugazzotto [25] conducted the only study comparing implants immediately placed into sites with periapical pathology with those immediately placed into sites without periapical pathology in the same patient, thus helping to control a number of interpatient variables and render the results more directly clinically applicable. It was observed that both treatments yielded comparable results with no statistically significant difference in survival rates.…”

Section: Introductionmentioning

confidence: 99%

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Immediate implant placement in the infected sockets - A case series

Panjali¹

2017

Dent Oral Craniofac Res

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The question whether an implant could be placed in an infected site has often been raised and addressed in the literature by several authors. There are several studies that have successfully placed implants in infected sites [1][2][3][4][5][6]; however, all these studies removed granulation tissue before placing the implant as a part of their clinical protocol [7][8][9][10][11][12][13][14][15][16]. In this study, the implants were placed in infected sites without curettage.A prospective clinical study was done with a total of 10 cases. The selected infected, maxillary anterior teeth presented with either chronic or acute periapical lesions with poor to a hopeless prognosis. A standardized surgical and prosthetic protocol was developed. Implants were placed and cases were evaluated at six-month follow-up. Using pre-and postoperative cone beam computed tomography (CBCT), data were collected [16][17][18][19][20][21][22]. The result reflects and confirms the hypothesis that endosteal implants can be successfully integrated in infected sites. However, alveolar ridge resorption after the tooth extraction is a frequent occurrence and may significantly reduce the residual bone volume [23][24][25][26][27][28]. This study is a proof of principle that sockets can heal naturally with immediately placed implants in infected sites and tissue shrinkage can be reduced by utilizing least invasive surgical and prosthetic protocol.

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Section: Introductionmentioning

confidence: 77%

Section: Introductionmentioning

confidence: 99%

Immediate implant placement in the infected sockets - A case series

Panjali¹

2017

Dent Oral Craniofac Res

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“…The bone destruction pattern resulting from periapical pathology should be taken into account when considering immediate placement. Fugazzoto (9) suggests a classification system for periapical lesions: 1 to 3, depending on bone availability to ensure primary stability and to guide clinical procedures.…”

Section: Workhop 1 -Ideal Time For Implant Placement: Immediate Earmentioning

confidence: 99%

“…El patrón de destrucción ósea como resultado de la presencia de patología periapical debe examinarse al considerar el tiempo de inserción inmediato. Fugazzoto (9) propone un sistema de clasificación de la lesión periapical, tipificándola del 1 al 3 en función de la disponibilidad ósea que asegure la estabilidad primaria, orientando la conducta clínica a seguir. Tipo 1: Existe suficiente hueso periapical para lograr estabilidad primaria Tipo 2: No existe adecuado remanente periapical para asegurar estabilidad primaria, esta se logra lateralmente.…”

Section: Introductionunclassified

Taller 1 - Momento idóneo para la inserción del implante, inmediato, temprano o diferido

Yannuzzi

2017

Odontoestomatología

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IntroducciónDecidir el momento de inserción del implante es esencial para lograr los objetivos propuestos en todo tratamiento rehabilitador implanto-prostodóncico, asegurando a largo plazo la estética y función de la restauración, con mínima morbilidad. La indicación de extracción puede ser muy variada, desde caries extensas que imposibilitan su rehabilitación, procesos infecciosos agudos o crónicos de índole endodóncico, periodontal o traumatismos; el diagnóstico y plan de tratamiento debe determinar la indicación y el momento oportuno para realizarla. La rehabilitación funcional y estética a través de implantes, dependerá de su inserción óptima en un proceso alveolar apto (1) . El hueso alveolar es un tejido dependiente del diente, que se desarrolla conjuntamente durante la erupción dental y se remodela con su pérdida. Las alteraciones dimensionales consecuentes a la extracción, tendrán una acción directa en la conducta clínica a seguir. Como resultado del modelado y remodelado alveolar se describe en la literatura una pérdida en alto y ancho durante los primeros 6 meses; estos cambios en sentido vertical se visualizan en torno al 11 y 22% a

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“…Twelve of the articles were excluded as they had no IOPAs of the lesion. 7,11,24,25,33,35,[37][38][39]45,48,53 A total of 54 IOPAs from 36 articles were compiled. One periodontist (SR) and one implantologist (TAB) independently analyzed the IOPAs.…”

Section: Literature Searchmentioning

confidence: 99%

A Radiographic Classification for Retrograde Peri-implantitis

Shah¹,

Thomas²,

Kumar³

et al. 2016

The Journal of Contemporary Dental Practice

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Background: Retrograde peri-implantitis (RPI) is an inflammatory disease that affects the apical part of an osseointegrated implant, while the coronal portion of the implant sustains a normal bone-to-implant interface. It is a diagnostic and therapeutic dilemma for implantologists. There is lack of a standard classification system and a definite treatment algorithm for the same. This article aims to introduce a classification system for RPI based on the radiographic amount of bone loss around an implant apex. Materials and methods:A search of PubMed database was conducted with the keywords "retrograde peri-implantitis" and "implant periapical lesion." Preoperative intraoral periapical (IOPA) radiographs of implants with RPI in case reports/case series were compiled. A total of 54 IOPAs from 36 articles were compiled and were assessed.Results: Three different classes were proposed. The amount of bone loss from the apex of the implant to the most coronal part of radiolucency was calculated as a percentage of the total implant length and classified into one of the three classes: Mild, moderate, and advanced. Treatment options and prognosis have been suggested for each class. Conclusion:The proposed classification may allow for an easy and reproducible radiographic assessment of the RPI lesion and may serve as a guideline to prognosis and treatment planning.

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A Retrospective Analysis of Implants Immediately Placed in Sites With and Without Periapical Pathology in Sixty‐Four Patients

Abstract: Implants immediately placed in sites demonstrating periapical pathology yielded results comparable to those immediately placed in pristine sites. The difference in survival rates was not statistically significant.

Cited by 52 publications

References 11 publications

Immediate implant placement in the infected sockets - A case series

Immediate implant placement in the infected sockets - A case series

Taller 1 - Momento idóneo para la inserción del implante, inmediato, temprano o diferido

A Radiographic Classification for Retrograde Peri-implantitis

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