Inflammatory Implant Periapical Lesion: Etiology, Diagnosis, and Treatment—Presentation of 7 Cases

Peñarrocha‐Diago, Miguel; Boronat-Lopez, Araceli; García-Mira, Berta

doi:10.1016/j.joms.2007.12.022

Cited by 29 publications

(40 citation statements)

References 7 publications

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“…IPL [2]; none of these cases responded to treatment exclusively with antibiotics, and periapical surgery with curettage and irrigation was necessary. These authors report that one week after periapical surgery the pain and inflammation diminished, and after one year all 7 implants remained functional in the mouth, without alterations observed by clinical or x-ray examination [7].…”

Section: An Implant Periapical Lesion Associated With Presence Of Resmentioning

confidence: 97%

“…The clinical signs associated with the x-ray findings provide information on IPL diagnosis [17]. IPL may be characterised by suppuration, formation of fistulas and loss of alveolar bone, however pain and fistula formation may not always be present [2,5]. An infection installed in the apex of the implant may be propagated to coronal, proximal, lingual and vestibular, and may thus destroy the osseous interface of the affected implant, as well as leading to insertion loss of adjacent teeth and/or implants [5,18].…”

Section: (C) the Lesion Is Observed Perforating The Vestibular Plate;mentioning

confidence: 99%

“…Chang et al reported that IPL can only be treated successfully with systemic medication [20]. Peñarrocha-Diago et al reported that antibiotics administration is insufficient to resolve IPL [2,19]. Peñarrocha-Diago et al reported 7 cases of…”

Section: (C) the Lesion Is Observed Perforating The Vestibular Plate;mentioning

confidence: 99%

“…Implant periapical lesion (IPL), apical peri-implantitis or retrograde peri-implantitis is described as an inflammatory lesion involving the apical part of a dental implant [1,2]. IPL is three times as frequent in the maxilla as in the mandible [3]; its incidence is low, ranging from 0.26% to 9.9% [4,5].…”

Section: Introductionmentioning

confidence: 99%

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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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Section: An Implant Periapical Lesion Associated With Presence Of Resmentioning

confidence: 97%

Section: (C) the Lesion Is Observed Perforating The Vestibular Plate;mentioning

confidence: 99%

Section: (C) the Lesion Is Observed Perforating The Vestibular Plate;mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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

Honorato¹,

Alves²,

Trillos³

2018

biomedicalresearch

View full text Add to dashboard Cite

show abstract

“…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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Effects of d‐valine on periodontal or peri‐implant pathogens: Porphyromonas gingivalis biofilm

Hua¹,

Wang³

et al. 2018

Journal of Periodontology

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Inflammatory Implant Periapical Lesion: Etiology, Diagnosis, and Treatment—Presentation of 7 Cases

Cited by 29 publications

References 7 publications

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

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

A Radiographic Classification for Retrograde Peri-implantitis

Effects of d‐valine on periodontal or peri‐implant pathogens: Porphyromonas gingivalis biofilm

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