Management of Early Implant Failure Associated with A Remnant: A Case Report
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Implant restoration, a predictive procedure for edentulous areas, can suffer from early failure due to several factors. While thorough debridement of the extraction socket is standard practice for implant placement, unintentional remnant can occur. This case report presents an early implant failure following placement and guided bone regeneration. Radiological examination revealed radiopaque material around the implant, prompting material removal and subsequent biopsy. The histological analysis identified the area surrounding the bone material as granulation tissue containing chronic inflammatory cells, while the hard tissue area exhibited hypercementosis or periapical cemento-osseoeous dysplasia. These findings suggest unintentional placement of the implant into a remnant following the previous extraction. This case highlights the importance of thorough debridement after tooth extraction. Moreover, pre-implant placement radiological evaluation is necessary to avoid implant failure associated with unintentionally retaining lesion.
Abstract
Implant restoration, a predictive procedure for edentulous areas, can suffer from early failure due to several factors. While thorough debridement of the extraction socket is standard practice for implant placement, unintentional remnant can occur. This case report presents an early implant failure following placement and guided bone regeneration. Radiological examination revealed radiopaque material around the implant, prompting material removal and subsequent biopsy. The histological analysis identified the area surrounding the bone material as granulation tissue containing chronic inflammatory cells, while the hard tissue area exhibited hypercementosis or periapical cemento-osseoeous dysplasia. These findings suggest unintentional placement of the implant into a remnant following the previous extraction. This case highlights the importance of thorough debridement after tooth extraction. Moreover, pre-implant placement radiological evaluation is necessary to avoid implant failure associated with unintentionally retaining lesion.
참고문헌 (19)
- 염혜지, "The cumulative survival rate of sandblasted, large-grit, acid-etched dental implants: a retrospective analysis", Journal of Periodontal & Implant Science, 54(2), pp.122~135 (2024), 대한치주과학회[DOI]
- 남동휘, "The cumulative survival rate of dental implants with micro-threads: a long-term retrospective study", Journal of Periodontal & Implant Science, 54(1), pp.53~62 (2024), 대한치주과학회[DOI]
- 황인경, "Clinical evaluation of 3.0-mm narrowdiameter implants: a retrospective study with up to 5 years of observation", Journal of Periodontal & Implant Science, 54(1), pp.44~52 (2024), 대한치주과학회[DOI]
- 강대영, "Early implant failure: a retrospective analysis of contributing factors", Journal of Periodontal & Implant Science, 49(5), pp.287~298 (2019), 대한치주과학회[DOI]
- Pye AD, "A review of dental implants and infection", J Hosp Infect, 72, pp.104~110 (2009)
- Buser D, "Long-term evaluation of non-submerged ITI implants. Part 1 : 8-year life table analysis of a prospective multi-center study with 2359 implants", Clin Oral Implants Res, 8, pp.161~172 (1997)
- Park SH, "Management and prevention of retrograde peri-implant infection from retained root tips : two case reports", Int J Periodontics Restorative Dent, 24, pp.422~433 (2004)
- Langer L, "Unintentional root fragment retention in proximity to dental implants : a series of six human case reports", Int J Periodontics Restorative Dent, 35, pp.305~313 (2015)
- Park Da-Min, "Anterior implant placement in the presence of maxillary impacted teeth: Case reports", Journal of Dental Implant Research, 40(3), pp.90~96 (2021), 대한치과이식(임프란트)학회[DOI]
- Senia ES, "Periapical cemento-osseous dysplasia : a case report with twelve-year follow-up and review of literature", Int Endod J, 48, pp.1086~1099 (2015)
- Menini M, "One-stage versus two-stage technique using two splinted extra-short implants : A multicentric split-mouth study with a one-year follow-up", Clin Implant Dent Relat Res, 24, pp.602~610 (2022)
- 이정원, "Comparison of implant stability measurements between a resonance frequency analysis device and a modified damping capacity analysis device: an in vitro study", Journal of Periodontal & Implant Science, 50(1), pp.56~66 (2020), 대한치주과학회[DOI]
- Nevins ML, "Late Dental Implant Failures Associated with Retained Root Fragments : Case Reports with Histologic and SEM Analysis", Int J Periodontics Restorative Dent, 38, pp.9~15 (2018)
- Quirynen M, "An infected jawbone site compromising successful osseointegration", Periodontol 2000, 33, pp.129~144 (2003)
- Lee J, "Comparison of immediate implant placement in infected and non-infected extraction sockets : a systematic review and meta-analysis", Acta Odontol Scand, 76, pp.338~345 (2018)
- Stefano Oliva, "The socket shield technique and its complications, implant survival rate, and clinical outcomes: a systematic review", Journal of Periodontal & Implant Science, 53(2), pp.99~109 (2023), 대한치주과학회[DOI]
- Gharpure AS, "Current Evidence on the Socket-Shield Technique : A Systematic Review", J Oral Implantol, 43, pp.395~403 (2017)
- Massé L, "Insights into the aetiologies of hypercementosis : A systematic review and a scoring system", Arch Oral Biol, 146, pp.105599~ (2023)
- Lee D, "Risk factors impacting the survival of implants replaced following failure : A retrospective study", Clin Implant Dent Relat Res, 25, pp.1008~1018 (2023)