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Marginal peri-implantitis due to occlusal overload. A case report
Roberto Uribe1, Miguel Peñarrocha, Jose María Sanchis
1Master de Cirugía e Implantología Oral, Universidad de Valencia, Spain.
Medicina Oral : Organo Oficial De La Sociedad Espanola De Medicina Oral Y De La Academia Iberoamericana De Patologia Y Medicina Bucal
|March 3, 2004
Summary
Marginal peri-implantitis caused by occlusal overload can lead to bone defects. Treatment involving occlusal adjustment and bone grafting showed successful bone regeneration and symptom remission.
Area of Science:
- Dental Implantology
- Periodontology
- Biomaterials Science
Background:
- Marginal peri-implantitis has infectious and biomechanical etiologies.
- Research on the biomechanical factor and associated histology is limited.
Observation:
- A case of marginal peri-implantitis in the mandibular molar region due to occlusal overload.
- This resulted in an osseous defect on the marginal crest.
Findings:
- Histologic analysis revealed juxtaepithelial lympho-plasmacytoid infiltrate and dense fibro-connective tissue, differing from infectious peri-implantitis.
- Treatment included occlusal adjustment, debridement, and autogenous bone grafting.
- 12-month follow-up showed symptom remission and marginal crest bone regeneration.
Implications:
- Occlusal overload is a significant factor in peri-implantitis.
- Histological differences exist between infectious and biomechanical peri-implantitis.
- Further research into histological distinctions is crucial for effective treatment strategies.