Effect of teeth with periradicular lesions on adjacent dental implants

Shabahang, Shahrokh; Bohsali, K; Boyne, Philip J.; Caplanis, Nicholas; Lozada, Jaime; Torabinejad, Mahmoud

doi:10.1016/s1079-2104(03)00367-6

Cited by 33 publications

(28 citation statements)

References 15 publications

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“…According to the literature reviewed, overheating of bone 7,[15][16][17]20,21,24 , contamination of the implant surface 6,17 , bacterial involvement from an adjacent tooth or the infected tooth that previously occupied the site 19,22,23 , implant placement in an infected maxillary sinus 21 , and overloading of the implant 12,20 are given as possible causes for implant periapical lesions. Overheating caused by excessive force and insufficient cooling of drills could result in tissue necrosis of the implant surface, resulting in susceptibility to bacterial invasion and affecting the osseointegration process 3,5 .…”

Section: Discussionmentioning

confidence: 99%

“…In the authors' department, implants longer than 12 mm are rarely chosen, which may be why their incidence of implant periapical lesion was lower than the average. Bacterial contamination from an adjacent tooth, or the infected tooth that previously occupied the site, seemed to be a predominant factor for implant apical lesions 19,22,23 . Two reports 1,19 indicated that many implant failures with periapical lesions occurred at the extraction sites of teeth with a history of endodontic pathology or sites adjacent to teeth with an obvious endodontic pathology.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Trepanation and curettage treatment for acute implant periapical lesions

Zhou¹,

Cheng²,

Wu³

et al. 2012

International Journal of Oral and Maxillofacial Surgery

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Trepanation and curettage treatment for acute implant periapical lesions

Zhou¹,

Cheng²,

Wu³

et al. 2012

International Journal of Oral and Maxillofacial Surgery

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“…9,27,28,32,46,59,62 Another article was excluded as it was an animal study (n = 1). 56 The process is demonstrated in Flow Chart 1.…”

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 recent study reported that the incidence of retrograde peri-implantitis might be reduced by increasing the distance between the implant and the adjacent tooth, and/or the duration from endodontic treatment to implant placement in the adjacent tooth (Zhou et al, 2009). However, some researchers suggested that the endodontic status of adjacent teeth has no effect on the prognosis of the implant (Shabahang et al, 2003;Doyle et al, 2007;Laird et al, 2008). Local anatomy, such as proximity to the sinus or the type of bone, determines the potential need for additional procedures and/or whether the risk for complications will increase (Bader, 2001(Bader, , 2002Cohn, 2005;Torabinejad & Goodacre, 2006).…”

Section: Risk Factors And/or Complexity Of Each Treatment Modalitymentioning

confidence: 99%