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Endodontic Peri-implant Defects: A New Disease Entity
Diane Daubert1, Rachel M Black2, Vanessa Chrepa3
1Department of Periodontics, University of Washington, Seattle, Washington.
Journal of Endodontics
|January 22, 2020
Summary
Retrograde peri-implantitis (RPI) can occur around dental implants due to endodontic infections. This report introduces endodontic peri-implant defects, highlighting the need for accurate diagnosis to prevent mistreatment.
Area of Science:
- Dental Implantology
- Endodontics
- Periodontology
Background:
- Peri-implantitis is a frequent complication of dental implants.
- Retrograde peri-implantitis (RPI) is linked to endodontic infections or immediate implant placement in inflamed bone.
- Existing classifications do not fully address endodontic lesions affecting implants.
Purpose of the Study:
- To introduce and define endodontic peri-implant (endo-implant) defects.
- To raise awareness of these specific lesions to prevent misdiagnosis and mistreatment.
- To present cases illustrating the management of such defects.
Main Methods:
- Case report presentation of two instances of peri-implant bone loss.
- Association of bone loss with adjacent endodontic-periodontic lesions.
- Intervention involved endodontic therapy or tooth extraction.
Main Results:
- Peri-implant bone loss in the coronal half of implants adjacent to endodontic lesions was observed.
- Successful resolution of bone loss following appropriate endodontic treatment or extraction.
- Demonstrated the efficacy of addressing the underlying endodontic cause.
Conclusions:
- Endodontic peri-implant defects represent a distinct entity requiring specific diagnostic consideration.
- Accurate identification of endodontic involvement is crucial for appropriate treatment planning.
- Vigilance for endo-implant defects can prevent overtreatment or mistreatment of peri-implant complications.
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