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Endodontic pathology leading to implant failure--a case report
1Department of Periodontics, New York University College of Dentistry, NY, USA.
The Journal of Oral Implantology
|January 1, 1997
Summary
Dental implant failure occurred due to bacterial contamination from an adjacent endodontic lesion. Prompt treatment did not prevent osteitis, necessitating implant removal and alternative restoration.
Area of Science:
- Dental Implantology
- Endodontics
- Oral Surgery
Background:
- Single dental implant placement in an alveolar ridge site.
- Adjacent bicuspid developed periapical pathology post-crown preparation.
Observation:
- Root-end inflammation extended to the implant surface.
- Osteitis developed around the implant despite timely endodontic therapy.
Findings:
- Bacterial contamination from an endodontic lesion caused implant failure.
- Implant removal was necessary one month post-placement.
- Osteotomy site healed successfully for a fixed partial prosthesis.
Implications:
- Highlights the risk of endodontic lesions to adjacent dental implants.
- Emphasizes the importance of managing periapical pathology near implants.
- Demonstrates the viability of alternative restorations after implant failure.