Efficiency and Safety of Dental Implantation in the Area of Hyperdense Jaw Lesions: A Narrative Review

Abstract

Background. Mineralized lesions of the jaws are often found incidentally on radiographs and computed tomography. Most of them are benign, and only a few rare cases are associated with malignant transformation. However, there is little clinical data on successful rehabilitation with implants in patients with mineralized lesions. This narrative review aimed to study the efficiency and safety of dental implantation in the area of hyperdense lesions. Materials and Methods. A PubMed, Google Scholar, and Science Direct database search was carried out with keywords and manually. Results. The literature exploration identified 323 articles; only 19 of them matched the search criteria and reported cases about dental implantation in the lesion area. It has been shown that in 84.2% of described cases, dental implantation was successful: in the osteoid osteoma, odontoma, cementoblastoma, idiopathic osteosclerosis, and condensing osteitis areas dental implantation was performed without any complications. The possibility of lesion recurrence and implant failure limited the use of dental implants in the area of osteoblastoma and cemento-osseous dysplasia. Although most cases of dental implantation in hyperdense jaw lesions were successful and were not accompanied by complications, further research is needed.

Alveolar Bone Box Ostectomy Grafted with Particulate Bone Substitute with Subsequent Dental Implant Placement in a Case of Craniofacial Fibrous Dysplasia Involving the Posterior Maxilla: Case Report and Literature Review

“…However, they stated that the possibility of complications and implant failure limits the use of dental implants in certain lesions like cement-osseous dysplasia. In addition, they suggested long-term clinical and radiological observation if the patient has undergone dental implantation [21].…”

Guided Biopsy of a Radiopaque Lesion Simultaneous with Dental Implants’ Placement: A Multidisciplinary Approach

“…According to the patient's medical history as well as clinical and radiographic findings, the diagnostic suspect was idiopathic osteosclerosis. Hyperdense jaw lesions are often found incidentally and have been shown to belong to a successful history of dental implantation [13]. An accurate implant restoration prosthetic plan, diagnostic care, and multidisciplinary approach made the surgical management of this clinical case simple and rapid.…”