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Peri-Implant Cystic Lesion With Unusual Cellular Changes: A Case Report.
Bryan J Frantz1, Jack G Caton1, Fred J Bonacci1
1Division of Periodontics, Eastman Institute for Oral Health, University of Rochester, Rochester, NY.
Clinical Advances in Periodontics
|August 13, 2020
Summary
A rare cyst adjacent to a dental implant was surgically removed and grafted. Histologic analysis revealed unusual cellular changes, and the patient showed no recurrence after two years, highlighting the need for thorough diagnosis.
Area of Science:
- Oral surgery
- Dental implantology
- Pathology
Background:
- Describes the history and management of a cyst adjacent to an immediately placed dental implant.
- Highlights a clinical presentation of gingival swelling near an osseointegrated maxillary incisor implant.
Observation:
- Radiographs revealed a well-circumscribed radiolucency contiguous with the implant surface.
- The lesion was enucleated, the bony defect grafted, and tissues sent for histologic analysis.
Findings:
- Histologic analysis confirmed a cyst of unknown origin with ameloblast-like cellular changes.
- The etiology of this peri-implant cyst remains unknown.
Implications:
- Emphasizes the critical need for histologic diagnosis of peri-implant lesions.
- Suggests a potential need to expand the current classification system for peri-implantitis.
