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Updated: Jun 3, 2026
Effects of Mechanical Methods Used in Peri-implantitis Treatment on Implant Surface Decontamination and Roughness
Published on: March 14, 2025
[Giant cell peripheral granuloma surrounding a dental implant: case report]
Lore Hanselaer1, Jan Cosyn, Hilde Browaeys
1Université de Gand, Faculté de Médecine et des Sciences de la Santé, Ecole de Médecine Dentaire, Service de Parodontologie et d'Implantologie Orale, De Pintelaan 185, 8-9000 Gand.
Background:
The rising number of dental implants placed in the treatment of partial or full edentulism confronts the clinician with more implant-related pathology. The presence of a transmucosal component resembles the natural tooth and makes it likewise prone to oral plaque adhesion and plaque-related diseases. However, non-plaque-related diseases can also occur around implants.
Case:
This clinical case describes the historical background, the diagnosis, treatment and follow-up of a 33-year-old female patient presenting with a peripheral giant cell granuloma surrounding a maxillary implant. Diagnosis was established by histopathologic analysis. The treatment consisted of complete excision and bone curettage, strict plaque-control and intensive aftercare. Eight months later, no recurrence had been observed. Nevertheless, the soft tissues did not return exactly to their original situation.
Conclusions:
Early diagnosis by means of a biopsy is crucial when an epulis is detected. This results in both a less invasive excision and a more favorable aesthetic outcome.
