Implant Pathology Associated With Loss of Periapical Seal of Adjacent Tooth

Sussman, Harold I.

doi:10.1097/00008505-199700610-00007

Cited by 16 publications

(8 citation statements)

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“…The dental literature contains minimal information relating to the effects of pulp pathology and administering with adjacent implants. There are few data that show, if treatment of an infected tooth near the implant is effective in preventing damage to the implant; if the implant is contaminated, some authors suggest that this should be removed as soon as possible to prevent osteomyelitis (Sussman ,b). In contrast to these recommendations, other researchers want to maintain the implant through other treatments.…”

Section: Discussionmentioning

confidence: 99%

Implants failures related to endodontic treatment. An observational retrospective study

Lopez-Martinez

Moreno

Olivares-Ponce

et al. 2014

Clinical Oral Implants Res

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Section: Discussionmentioning

confidence: 99%

Implants failures related to endodontic treatment. An observational retrospective study

Lopez-Martinez

Moreno

Olivares-Ponce

et al. 2014

Clinical Oral Implants Res

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“…The resulting periapical tooth lesion will contaminate the implant . In the type 2 pathway, the lesion will occur quite shortly after implant insertion when an adjacent tooth develops a periapical pathology (caries involvement, external root resorption , reactivation of a previously existing apical lesion or the removal of an endodontic seal ).…”

Section: Etiologymentioning

confidence: 99%

Etiology and treatment of periapical lesions around dental implants

Temmerman¹,

Lefever²,

Teughels³

et al. 2014

Periodontology 2000

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The widespread use of oral implants in recent years has resulted in various types of complications. One of those complications is the periapical implant lesion. Different factors have been proposed to play a role in the development and emergence of a periapical implant lesion. To date, there is no consensus on the etiology and therefore periapical lesions around dental implants are considered to have a multifactorial etiology. The diagnosis of an implant periapical lesion should be based on both clinical and radiological findings. Additionally, in order to apply the best treatment strategy the evolution of the lesion should be taken into account. The treatment of this kind of lesion, however, is still empiric. Data, primarily from case reports, seem to indicate that the removal of all granulation tissue is a first step to arrest the progression of the bone destruction. The removal of the apical part of the implant seems a valuable treatment strategy.

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“…An active IPL may be caused by bacterial contamination, premature load leading to bone micro-fractures before a proper bone-implant interface has become established, or by residual osseous cavities created by the installation of implants which are shorter than the prepared osteotomy site [1,10,13]. According to Sussman et al, the most likely cause of IPL is endodontic pathology of the natural tooth at the implant site (or an adjacent tooth) [14,15].…”

Section: Introductionmentioning

confidence: 99%

An implant periapical lesion associated with presence of residual root fragments: report of case treated with apicoectomy

Honorato¹,

Alves²,

Trillos³

2018

biomedicalresearch

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The present study reports a case of a periapical lesion in an implant placed in an alveolar ridge which presented a residual root fragment of a deciduous tooth. Patient attended a dental clinic because she wanted to replace the missing tooth with an implant. She reported having lost the temporary tooth for one year. The initial Cone-beam Computerised Tomography image showed an edentulous area in the #13 zone, and the presence of a fragment of the deciduous tooth. The small root fragment was removed and an implant 4.0 × 13 mm amplified was installed. Patient presented acute pain and inflammation at the implant site 20 d after the surgery when the implant was originally installed; the first periapical surgery was carried out. Four months after the first periapical surgery, in periapical x-ray a radiolucent lesion was observed surrounding the apical region of the implant with a dry sound under percussion. The second periapical surgery was carried out. Five months after the second periapical surgery, the presence of a fistula was observed clinically, while in X-ray a radiolucent lesion was observed in the apex of the implant. Implant-plasty was carried out, removing approximately 5 mm of the apical portion of the implant. This treatment was successful after 27 months' monitoring.

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Implant Pathology Associated With Loss of Periapical Seal of Adjacent Tooth

Cited by 16 publications

References 0 publications

Implants failures related to endodontic treatment. An observational retrospective study

Implants failures related to endodontic treatment. An observational retrospective study

Etiology and treatment of periapical lesions around dental implants

An implant periapical lesion associated with presence of residual root fragments: report of case treated with apicoectomy

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