Dental implant failure associated with a residual maxillary cyst

Pf, Galzignato; Cavallin, G; Ferronato, Giuseppe

doi:10.1038/sj.bdj.2010.156

Cited by 9 publications

(16 citation statements)

References 4 publications

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“…As Table 1 shows, there is still no consensus on the classification of IPL. The included reports (70 patients/76 implants) were preliminarily distributed in Penarrocha-Diago et al ’s classification [ 5 ]: 31 implants were inactive [ 8 , 12 , 13 , 17 , 18 , 20 , 21 , 26 , 27 , 29 , 30 , 33 , 36 ], and 46 implants were active, with acute non-suppurated(1) [ 13 ], acute suppurated (10) [ 6 , 7 , 14 , 16 , 19 , 25 , 28 , 31 , 32 ], subacute/suppurated-fistulized(7) [ 15 , 22 – 24 , 33 , 34 ], unclear stage(26) [ 35 ]. It should be noted that histopathological findings in some cases did not match Penarrocha-Diago et al’s classification to some extent.…”

Section: Resultsmentioning

confidence: 99%

A novel histopathological classification of implant periapical lesion: A systematic review and treatment decision tree

Gong

Zhao

et al. 2022

PLoS ONE

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Background Implant periapical lesion (IPL), as a peri-implant disease originating from implant apex, maintains coronal osseointegration in the early stage. With the understanding to IPL increasingly deepened, IPL classification based on different elements was proposed although there still lacks an overall classification system. This study, aiming to systematically integrate the available data published in the literature on IPL associated with histopathology, proposed a comprehensive classification framework and treatment decision tree for IPL. Methods and findings English articles on the topic of “implant periapical lesion”, “retrograde peri-implantitis” and “apical peri-implantitis” were searched on PubMed, Embase and Web of Science from 1992 to 2021, and citation retrieval was performed for critical articles. Definite histopathology and radiology of IPL are indispensable criteria for including the article in the literature. The protocol was registered in PROSPERO (CRD42022378001). A total of 509 papers identified, 28 studies were included in this review. In only one retrospective study, 37 of 39 IPL were reported to be at the inflammatory or abscess stage. 27 cases (37 implants) were reported, including acute non-suppurative (1/37, developed to chronic granuloma), chronic granuloma (5/37), acute suppurated (2/37), chronic suppurated-fistulized (6/37), implant periapical cyst (21/37), poor bone healing (2/37), foreign body reaction (1/37). Antibiotics alone did not appear to be effective, and the consequence of surgical debridement required cautious interpretation because of the heterogeneity of lesion course and operation. Implant apicoectomy and marsupialization were predictable approaches in some cases. Conclusions The diversiform nature of IPL in the case reports confirms the need for such histopathological classification, which may enhance the comparison and management of different category.

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Section: Resultsmentioning

confidence: 99%

A novel histopathological classification of implant periapical lesion: A systematic review and treatment decision tree

Gong

Zhao

et al. 2022

PLoS ONE

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“…In one such case the implant was placed in close proximity to the radiolucency because the region apical to the implant was taken as the anterior border of the sinus when actually it was a pathological osteolytic lesion. 16 It would be difficult to speculate regarding the cause of the cyst but it is worthy noting that this occurred around an integrated endosseous titanium implant and subsequently lead to bone loss and failure.…”

Section: Discussionmentioning

confidence: 99%

Cystic epithelial lining seen around a dental implant: A case report of a rare finding

Gandhi

Bhatavadekar

2020

Journal of Oral Biology and Craniofacial Research

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Dental implants have been successfully used for over 30 years, with a low complication rate. Peri-implant pathologies have recently seen an increase in incidence.This case report elucidates a rare case implant failure that occurred shortly after prosthetic loading, where the clinical signs mimicked peri-implant disease and attending bone loss, but the final histological report confirmed presence of a cystic lining around the implant. The manuscript also emphasizes the possible causes and management of such complications.To the best of our knowledge, this represents one of the first publication of an evident peri-implant cystic lining in a case exhibiting no radiographic evidence of the same.

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“… 5 The presence of an RC in an edentulous area prevents the functional rehabilitation of the patient due to the resulting bone defect. 6 All these factors justify the need for the surgical treatment of odontogenic cysts. In the present study, the lesion reached great proportions, which suggests a long course of evolution, despite the fact that the patient was asymptomatic.…”

Section: Discussionmentioning

confidence: 99%