Retrograde peri-implantitis associated with residual cysts

Pistilli, Roberto; Canullo, Luigi; Menini, María; Pistilli, Valeria; Rossi‐Fedele, Giampiero; Pesce, Paolo

doi:10.1016/j.adaj.2020.07.016

Cited by 4 publications

(16 citation statements)

References 14 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%

“…It should be noted that histopathological findings in some cases did not match Penarrocha-Diago et al’s classification to some extent. For example, Nedir et al’s [ 22 ] case presented clinical characteristics similar to the subacute/suppurated-fistulized phase, however, the detected foreign body was considered to be the culprit rather than residual infection; Cases presenting only localized pain and radiography were defined as acute suppurating [ 6 , 7 , 31 ], whereas histopathological evidence showed implant periapical cyst rather than inflammation; Asymptomatic cases were directly classified as inactive lesions according to the previous criteria, which led to the inclusion of cystic entity. However, the interpretation of the inactive item did not comprise cyst.…”

Section: Resultsmentioning

confidence: 99%

“…Table 2 showed the information of IPL extracted after retrieval. There were 27 case reports [6][7][8] and 1 retrospective study [35], all of which were conducted in humans. The following signs and symptoms were frequently mentioned in the case reports: swelling, abscess, localized pain, and fistula.…”

Section: Characteristics Of the Included Articlesmentioning

confidence: 99%

“…Of concern was the appearance of a cyst at the implant tip. From the case reports [6][7][8], implantation may stimulate epithelial residual or inflammatory transformation to formulate cyst at the implant tip, which might cause localized pain, mucosal swelling, and implant mobility. Radiologically, it was indistinguishable from the previously enumerated IPL types.…”

Section: Introductionmentioning

confidence: 99%

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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%

Section: Resultsmentioning

confidence: 99%

Section: Characteristics Of the Included Articlesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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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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“…Patient-Associated Factors include the presence of pre-existing/adjacent bone pathology (e.g., residual cyst), residual root fragments or foreign bodies; implant placed into infected sinus or poor quality bone, and patient under long-term oral bisphosphonates or those with a smoking habit [8,17,23,[26][27][28][29][30][31][32][33][34][35][36]. Wang showed implant periapical radiolucency lesions in one patient taking long-term oral bisphosphonates [33].…”

Section: Patient-associated Factorsmentioning

confidence: 99%

Implant Periapical Lesion: A Narrative Review

Chang

2021

Technologies

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Implant periapical lesion (IPL) is an infectious-inflammatory alteration surrounding an implant apex. It is a multifactorial disease that may ultimately cause implant failure. The diagnosis of IPL is based on examination of clinical manifestations and apical radiolucency. Many etiologies have been attributed to IPL, including preexisting microbial pathology and surgical trauma. Moreover, many systems have been used to classify IPL based on different parameters. To date, non-surgical and surgical treatment, as well as removal of failed implants, have been considered to successfully manage IPL. However, prevention of IPL surpasses all modes of treatment. An increased number of IPL cases are expected as implants have become standard for tooth replacement in dentate arches. Therefore, it is necessary to understand IPL more comprehensively. Herein, an introduction to IPL, including its etiology, diagnosis, classification, treatment, and prevention, has been undertaken.

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Prevention of retrograde peri-implantitis caused by pulpal/periapical lesions in adjacent teeth: A literature review

Gao,

2024

Journal of Dentistry

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Retrograde peri-implantitis associated with residual cysts

Cited by 4 publications

References 14 publications

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

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

Implant Periapical Lesion: A Narrative Review

Prevention of retrograde peri-implantitis caused by pulpal/periapical lesions in adjacent teeth: A literature review

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