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Periapical implant lesion: A systematic review
J-A Blaya-Tárraga1, J Cervera-Ballester, D Peñarrocha-Oltra
1Unidad de Cirugía Bucal, Facultat de Medicina i Odontologìa, Universitat de València, C/ Gascó Oliag 1, 46010 Valencia, Spain, miguel.penarrocha@uv.es.
Medicina Oral, Patologia Oral Y Cirugia Bucal
|October 21, 2017
Summary
Early diagnosis and treatment of periapical implant lesions during osseointegration improve implant survival. Limited evidence exists, highlighting the need for further research on etiology and standardized diagnostic criteria for these implant complications.
Area of Science:
- Dental Implantology
- Oral Surgery
- Periodontology
Background:
- Periapical implant lesions can compromise osseointegration.
- Understanding lesion characteristics and treatment is crucial for implant success.
Purpose of the Study:
- To systematically review evidence on periapical implant lesions.
- To identify frequency, symptoms, signs, radiological findings, and treatments.
Main Methods:
- Systematic literature review of PubMed, Embase, and Cochrane databases.
- Included peer-reviewed articles published up to March 2016.
- Focused on PICO: patients with periapical lesions during osseointegration.
Main Results:
- 36 studies involving 15,461 implants and 183 periapical lesions were analyzed.
- Lesions classified into acute (non-suppurated, suppurated) and subacute stages.
- Treatment: periapical surgery for stable implants; removal for mobile implants.
Conclusions:
- Evidence is limited, with small sample sizes and diagnostic heterogeneity.
- Etiology lacks consensus; early diagnosis and treatment enhance implant survival.
- Preventing implant extraction is a key outcome of timely intervention.

