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Altered sensation caused by peri-implantitis: a case report
Jong-Eun Kim1, Ji-Suk Shim, Jung-Bo Huh
1Advanced Prosthodontics, Graduate School of Clinical Dentistry, Institute for Clinical Dental Research, KUMC, Korea University, Seoul, Korea.
Summary
Peri-implantitis, inflammation around dental implants, can cause nerve damage and paresthesia, leading to numbness. Prompt removal of the affected implant can resolve these symptoms.
Area of Science:
- Oral and Maxillofacial Surgery
- Dental Implantology
- Neurology
Background:
- Paresthesia, or altered sensation, is a known complication of dental procedures involving the inferior alveolar nerve.
- While typically associated with natural teeth, nerve involvement from peri-implantitis is rarely reported.
Observation:
- A patient experienced transient paresthesia post-dental implant placement, with sensation returning after 3 months.
- Thirteen years later, the patient presented with recurrent paresthesia due to advanced peri-implantitis affecting the implant apex.
Findings:
- Symptom resolution, including paresthesia and pain, occurred within 15 days following the removal of the affected dental implant.
- This case highlights the potential for peri-implantitis to induce nerve compression and paresthesia.
Implications:
- Clinicians should consider peri-implantitis as a cause of paresthesia, especially in cases with implants near the inferior alveolar or mental nerves.
- Early diagnosis and implant removal may be crucial for managing nerve-related complications from peri-implantitis.
