Active Implant Periapical Lesions Leading to Implant Failure: Two Case Reports

2014 ◽  
Vol 40 (3) ◽  
pp. 325-329 ◽  
Author(s):  
Oğuz Buhara ◽  
Lokman Onur Uyanık ◽  
Aysa Ayalı ◽  
Melek Aydın
Keyword(s):  
Dental Implant ◽  
Case Reports ◽  
Clinical Signs ◽  
Inflammatory Lesion ◽  
Implant Removal ◽  
Implant Failure ◽  
Periapical Lesion ◽  
Periapical Lesions ◽  
Radiologic Findings ◽  
Possible Cause

Implant periapical lesion (IPL), an inflammatory lesion surrounding the apex of a dental implant, has been previously reported as a possible cause for implant failure. This article describes 2 successive cases of active IPL that were diagnosed early by clinical signs and radiologic findings. Lesions were treated surgically with implant removal and debridement. The etiology, findings, and treatment approaches for IPL are discussed in comparison with other reports.

SUCCESSFUL NON SURGICAL MANAGEMENT OF A LARGE PERIAPICAL LESION – TWO CASE REPORTS

2021 ◽  
pp. 11-12
Author(s):  
Kavimalar Kavimalar ◽  
Sonia Khatri ◽  
Sylvia Mathew ◽  
Nithin Shetty
Keyword(s):  
Imaging Techniques ◽  
Case Reports ◽  
Primary Objective ◽  
Endodontic Treatment ◽  
Periapical Lesion ◽  
Therapy Assessment ◽  
Periapical Lesions ◽  
Rotary Instruments ◽  
Long Term Follow Up ◽  
Natural Teeth

Aim: The aim of these case reports is to emphasize the successful healing of large periapical lesions using non surgical endodontic treatment with advanced techniques Background: Periapical lesions of endodontic origin are common pathological conditions affecting the periradicular tissues. The primary objective of root canal treatment is to cure or prevent periradicular periodontitis and to retain natural teeth in function and aesthetics Case description: Two case reports of large periapical lesions are described here which have shown favourable clinical and radiographic outcome following non surgical endodontic therapy Conclusion: Size of a periapical lesion does not necessarily mandate surgical intervention always and has shown the potential to heal following conservative endodontic therapy. Assessment of healing of a large periapical lesion necessitates a long term follow up and has to be done periodically. Clinical significance: The article highlights that present day endodontic treatment has become predictable and highly successful due to the advancements in diagnostic imaging techniques, rotary instruments, irrigants , intracanal medicaments and obturation systems which has in turn led to the fall in root end surgeries

scholarly journals Outcome of orthograde endodontic retreatment - a two-year follow-up

2016 ◽  
Vol 144 (3-4) ◽  
pp. 174-180 ◽  
Author(s):  
Jelena Neskovic ◽  
Slavoljub Zivkovic ◽  
Milica Medojevic ◽  
Milos Maksimovic
Keyword(s):  
Clinical Signs ◽  
Complete Healing ◽  
Periapical Lesion ◽  
Periapical Lesions ◽  
Group I ◽  
Group Ii ◽  
Periapical Inflammation ◽  
Endodontic Retreatment ◽  
Observation Period

Introduction. Endodontic retreatment is a complex intervention that requires detailed analysis of possible reasons for failure, and flawless practical execution of the procedure. Objective. The aim of the study was to assess the outcome of endodontic retreatment based on clinical and radiographic criteria after a two-year observation period. Methods. Clinical study included 49 teeth indicated for endodontic retreatment based on periapical index (PAI). All teeth were divided into two groups. Group I comprised teeth without any periapical lesion (PAI score of 1 and 2) while Group II consisted of teeth with visible periapical radiolucency (PAI score of 3, 4, and 5). Endodontic retreatment was completed in two visits with inter-appointment medication of 2% chlorhexidine and calcium hydroxide for two weeks. Outcome of endodontic retreatment was evaluated 12-24 months after final obturation. Results. Endodontic retreatment was successful in 93.3% in Group I after 24 months. In Group II, successful treatment and complete healing was found in 52.9% of teeth, whereas 14.7% of teeth showed only partial healing. However, clinical symptomatology was not present in any of the cases. Considering the absence of clinical signs and subjective symptoms, retreatment was successful in 67.6% of cases where chronic periapical inflammation was present. Conclusion. Endodontic retreatment was successful in high percentage in teeth with and without periapical lesions.

Active implant periapical lesions leading to implant failure: two case reports

2012 ◽  
pp. 120412082226006
Author(s):  
Oguz Buhara ◽  
Lokman Onur Uyanik ◽  
Aysa Ayali ◽  
Melek Aydin
Keyword(s):  
Case Reports ◽  
Implant Failure ◽  
Periapical Lesions

scholarly journals Non-surgical management of periapical lesions with triple antibiotic paste: A case reports

2020 ◽  
Vol 2 ◽  
pp. 120-123
Author(s):  
Munish Singla ◽  
Iyana Garg ◽  
Vandana Goyal ◽  
Harleen Kaur ◽  
Litik Mittal
Keyword(s):  
Case Report ◽  
Surgical Management ◽  
Root Canal ◽  
Case Reports ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Periapical Lesion ◽  
Present Case Report ◽  
Periapical Lesions ◽  
Triple Antibiotic Paste

Sterilization of root canal space is foremost for the success of the endodontic treatment which is usually carried out with intracanal irrigants and medicaments. Triple antibiotic paste (metronidazole, ciprofloxacin, and minocycline) is used to achieve sterilization and healing of periradicular area. In the present case report, the triple antibiotic paste was used for non-surgical management of periapical lesion for 3 weeks. After 3 weeks, the tooth became asymptomatic that was then obturated. Hence, it is confirmed that conventional root canal treatment, along with intracanal medicaments (triple antibiotic paste), can non-surgically manage the periapical lesions and further promotes healing.

scholarly journals Unicystic Ameloblastoma Masquerading as Huge Periapical Lesion, both Clinically and Histopathologically: Two Case Reports with Review of Literature

2013 ◽  
Vol 3 ◽  
pp. 9 ◽  
Author(s):  
N. V. V. Satyabhusan ◽  
Samapika Routray ◽  
Lavanya Bendi ◽  
B Venkat Suresh ◽  
Sumit Majumdar ◽  
...  
Keyword(s):  
Case Reports ◽  
Periapical Lesion ◽  
Review Of Literature ◽  
X Ray ◽  
Periapical Lesions ◽  
Unicystic Ameloblastoma

Unicystic ameloblastoma (UA) is one of the variants of ameloblastoma. It manifests as unilocular radiolucency in the mandible or maxilla on X-ray scans. In very rare cases, it can appear as a localized periradicular radiolucent area, imitating a periapical lesion. In this article, we present two cases of UA that were initially misdiagnosed as periapical lesions. Subsequently, surgical enucleation was performed and the diagnosis of UA was confirmed histopathologically.

scholarly journals Use of mineral trioxide aggregate for retreatment of a tooth with large periapical lesion, wide-open apices and vertical root fracture

2018 ◽  
pp. bcr-2018-227627
Author(s):  
Pragya Pandey ◽  
Tanya Nandkeoliar ◽  
Rhythm Bains ◽  
Diksha Singh
Keyword(s):  
Clinical Signs ◽  
Mineral Trioxide Aggregate ◽  
Signs And Symptoms ◽  
Fracture Line ◽  
Autogenous Bone ◽  
Periapical Lesion ◽  
Vertical Root Fracture ◽  
Periapical Lesions ◽  
Retrograde Filling ◽  
Clinical Signs And Symptoms

Chronic periapical lesions in necrotic teeth with open apex are difficult to manage. The situation becomes more complex if the tooth has a fracture line. This case report describes the management of a traumatised tooth that had already undergone unsuccessful endodontic treatment with a large periapical lesion and open apex along with a fracture line in the root. An attempt was made to save the tooth by using mineral trioxide aggregate (MTA) cement for orthograde filling, retrograde filling and also for sealing of the fracture line. Moreover, the bone defect was filled with autogenous bone harvested from the external oblique ridge. MTA, a bioactive tricalcium silicate cement, has been used in treating complex endodontic cases as it shows promising potential by inducing the biological mechanisms necessary for repair of involved teeth. A 1-year follow-up showed progressive healing as evident by radiographs and lack of any clinical signs and symptoms.

Prosthetic Rehabilitation of Edentulous Ridges Following Alveolar Distraction Osteogenesis: Clinical Report of Three Cases

2011 ◽  
Vol 37 (sp1) ◽  
pp. 183-191 ◽  
Author(s):  
Gulfem Ergun ◽  
Isil Cekic Nagas ◽  
Dervis Yilmaz ◽  
Mustafa Ozturk
Keyword(s):  
Dental Implant ◽  
Distraction Osteogenesis ◽  
Alveolar Bone ◽  
Case Reports ◽  
Clinical Report ◽  
Oral Rehabilitation ◽  
Radiologic Findings ◽  
Implant Placement ◽  
Dental Practitioners ◽  
Alveolar Distraction Osteogenesis

Patients with complete edentulism who have insufficient bone for endosseous dental implant treatment present a challenge for dental practitioners. Distraction osteogenesis of the edentulous alveolar ridges is a process for augmentation of atrophic alveolar bone before dental implant placement. This clinical report describes the use of distraction osteogenesis and rehabilitation of patients with a fixed or removable implant-supported prosthesis to treat mandibular defects. Two female patients with segmental alveolar atrophy at the posterior regions of mandible and one female patient with defect at the anterior region of mandible were treated using distraction devices. However, lingual tipping of the distraction vector occurred during the distraction phase in patient 1. The morphology of the alveolar bone was also analyzed in relation to the planned implant position. After a consolidation period of 12 weeks on average, radiologic observation suggested that there was sufficient bone formation for implant installation. In all patients, implant-supported fixed or removable prosthetic oral rehabilitation was successfully performed, and the clinical and radiologic findings were satisfactory. After 4 years of follow-up, no functional or esthetic difficulties with the implants and restorations were noted. These case reports suggest that although alveolar distraction osteogenesis seems to be an effective technique for augmenting atrophic alveolar bone for creating bone and soft tissue, complications may occur after surgical procedures.

scholarly journals Vitamin D Supplementation for Prevention of Dental Implant Failure: A Systematic Review

2022 ◽  
Vol 2022 ◽  
pp. 1-5
Author(s):  
Alaa Makke
Keyword(s):  
Vitamin D ◽  
Dental Implant ◽  
Significant Relationship ◽  
Animal Studies ◽  
Retrospective Studies ◽  
Case Reports ◽  
Case Series ◽  
Vitamin D Supplementation ◽  
Implant Failure ◽  
Vitamin D Levels

Background. Many factors play a significant role in osseointegration and healing after dental implant insertion and restoration. Some factors are related to dental biomaterials, such as the dental implant, prosthesis, and grafting materials. Other factors can be connected to operator skills and accumulated experience. Local and systemic patient-related factors are crucial in determining the success of the dental implant. Thorough examination and analysis of local factors using available examination tools are vital to prepare the implant candidate for such treatment. The patient’s systemic condition directly affects the healing of the dental implant. One of the most overlooked systemic factors is the patients’ vitamin D level, which influences bone formation around the implant and subsequent osseointegration. The current review examined the available literature regarding the association between vitamin D supplementation and dental implant osseointegration. Methods. Data of this review were derived from recent research available on PubMed, Google Scholar, and Scopus. Inclusion criteria were the relation between the vitamin D serum and dental implant osseointegration or failure. The Systematic Reviews and Meta-Analyses (PRISMA) checklist was followed to perform the review. The study’s outcome was the need for vitamin D supplementation to prevent implant failure. Results. Five human studies (including case reports, case series, and retrospective studies) and six animal studies. All included studies discussed the relationship between vitamin D, early dental implant failure, and bone implant contact. Three retrospective studies found no significant relationship between vitamin D supplementation and EDIFs in humans. On the other hand, one retrospective study showed a significant relationship in humans. A case report and case series claimed that the implant was successfully placed after vitamin D supplementation. A total of four animal studies showed a significant relationship between vitamin D supplementation and osseointegration of the dental implant. Two animal studies showed no significant association. Conclusion. To ensure optimal treatment outcomes, it is recommended to supplement the patient with vitamin D if the serum level is not within the normal range. Further clinical studies and case reports are needed to confirm the association between serum vitamin D levels and osseointegration.

scholarly journals Canalis Sinuosus Damage after Immediate Dental Implant Placement in the Esthetic Zone

2019 ◽  
Vol 2019 ◽  
pp. 1-5 ◽  
Author(s):  
Roman Volberg ◽  
Oleg Mordanov
Keyword(s):  
Female Patient ◽  
Dental Implant ◽  
Implant Removal ◽  
Implant Failure ◽  
Anterior Maxilla ◽  
Structure Damage ◽  
Clinical Symptomatology ◽  
Implant Placement ◽  
Immediate Implant ◽  
Canalis Sinuosus

Dental implant failure in the anterior maxilla can be caused by the range of the features. One of them is neighboring neurovascular structure damage, such as the canalis sinuosus (CS), that carries the superior anterior alveolar nerve. The aim of the report is to demonstrate clinical symptomatology and radiographic signs of CS damage in a 45-year-old female patient who underwent upper left lateral incisor extraction and immediate implant placement and implant removal in 16 days secondary to pain and paresthesia in the maxillary left region.

Is perioperative antibiotic necessary in straightforward implant placement procedures?

2020 ◽  
Author(s):  
Elçin Bedeloğlu ◽  
Mustafa Yalçın ◽  
Cenker Zeki Koyuncuoğlu
Keyword(s):  
Clavulanic Acid ◽  
Dental Implant ◽  
Prophylactic Antibiotic ◽  
Antibiotic Use ◽  
Implant Failure ◽  
Control Group ◽  
Implant Placement ◽  
Significant Difference ◽  
Amoxicillin Clavulanic Acid ◽  
Experimental Group

The purpose of this non-random retrospective cohort study was to evaluate the impact of prophylactic antibiotic on early outcomes including postoperative pain, swelling, bleeding and cyanosis in patients undergoing dental implant placement before prosthetic loading. Seventy-five patients (45 males, 30 females) whose dental implant placement were completed, included to the study. Patients used prophylactic antibiotics were defined as the experimental group and those who did not, were defined as the control group. The experimental group received 2 g amoxicillin + clavulanic acid 1 h preoperatively and 1 g amoxicillin + clavulanic acid twice a day for 5 days postoperatively while the control group had received no prophylactic antibiotic therapy perioperatively. Data on pain, swelling, bleeding, cyanosis, flap dehiscence, suppuration and implant failure were analyzed on postoperative days 2, 7, and 14 and week 12. No statistically significant difference was detected between the two groups with regard to pain and swelling on postoperative days 2, 7, and 14 and week 12 ( p >0.05), while the severity of pain and swelling were greater on day 2 compared to day 7 and 14 and week 12 in both groups ( p =0.001 and p <0.05, respectively). Similarly, no significant difference was found between the two groups with regard to postoperative bleeding and cyanosis. Although flap dehiscence was more severe on day 7 in the experimental group, no significant difference was found between the two groups with regard to the percentage of flap dehiscence assessed at other time points. Within limitations of the study, it has been demonstrated that antibiotic use has no effect on implant failure rates in dental implant surgery with a limited number of implants. We conclude that perioperative antibiotic use may not be required in straightforward implant placement procedures. Further randomized control clinical studies with higher numbers of patients and implants are needed to substantiate our findings.

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