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Peri-implantitis induced by a retained retraction cord
Quintessence International (Berlin, Germany : 1985)
|January 7, 2014
Summary
A retained retraction cord caused purulent peri-implantitis, leading to significant bone loss around a dental implant. Thorough removal of plaque-retentive factors is crucial for successful implant restoration and long-term peri-implant tissue health.
Area of Science:
- Dental Implantology
- Periodontology
- Oral Surgery
Background:
- Peri-implantitis is a significant complication following dental implant placement.
- Early detection and management are crucial for implant survival.
- Retained foreign materials can act as etiological factors in peri-implant disease.
Observation:
- A case of purulent peri-implantitis is presented at a maxillary right lateral incisor implant.
- Initial treatment with debridement was unsuccessful, necessitating open flap surgery.
- Profound bone loss and a retained retraction cord at the implant's cervical portion were identified.
Findings:
- The retained retraction cord likely served as a plaque-retentive factor, initiating bacterial accumulation.
- This led to severe peri-implant inflammation and significant osseous destruction.
- The case highlights the detrimental effect of overlooked plaque-retentive factors.
Implications:
- Meticulous removal of all potential plaque-retentive factors (e.g., cement, cords, ill-fitting restorations) is essential during implant restoration.
- Failure to eliminate these factors can lead to peri-implantitis and implant failure.
- This case underscores the importance of comprehensive surgical and restorative protocols in implant dentistry.
