Evaluation of the Effects of Dental Implants on Oral Lesions

Abstract

Implant treatment is best done with caution in patients with cancer or mucocutaneous disorders.

Characteristics of patients who perceive dental treatment as a cause of oral mucosal lesions

“…In particular, an increase of concentration of titanium ion, the main component of the implant, in the saliva may lead to types 1 and 4 inflammatory reactions and lead to burning mouth syndrome. In addition, studies on the association between dental implants and OML suggest that implants may be a risk factor for OLP and AR (7,24). The present study also showed that implants and prosthetics collectively accounted for 72-80% of the total treatment in OLP and AR patients in terms of the treatment rate; this finding is consistent with results of previous studies (Table 4) (7,24).…”

“…The administration of compressed air during DT is also a possible contributing factor, as the oral mucosa is stimulated from the force of the dry air applied to certain regions susceptible to mucosal disease (5,6). The various stimuli that can be applied during these DTs have almost no effect on healthy adults (7). However, if persistent physical and chemical stimuli are applied to the oral mucosa in patients with early-stage oral mucosal disease (dry mouth), the elderly, or patients with impaired immune function or a debilitating disease, the oral epithelium may be affected, resulting in ulcers or an immunologic disease (8).…”

Clinical Management Protocol for Dental Implants Inserted in Patients with Active Lichen Planus. Part II 4‐Year Follow‐Up

“…The study results were consistent with other reports and reviews, which stated that implant placement may exacerbate or cause recurrence of OLP away from or at the implant site in previously treated patients . However in this study, implant placement in the control group did not cause or exacerbate any extra lesions in relation to the noncontrolled group.…”

“…This approximated the inflammatory infiltrate directly over the marginal bone and focused the by‐products directly to the implant collar region, causing accelerated bone loss, at a rate of 2.5 mm MBL every 4 years. The clinical service time of implants in patients with active LP is expected to be reduced to almost 8 years …”

“…Lichen planus (LP) has been associated with Koebner's phenomenon, hence minimally traumatic procedures should always be considered . Due to the adverse effect of implant placement on LP and vice versa, implant placement should be done with caution . LP patients treated with dental implants are at a risk of implant failure due to inability of the epithelium to attach to the implant surface, which allows the bacteria to access the preimplant tissue, leading to failure of osseointegration .…”