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Tooth devitalization via implant placement: a case report
1Department of Periodontics, New York University College of Dentistry, New York, USA.
Periodontal Clinical Investigations : Official Publication of the Northeastern Society of Periodontists
|July 15, 1998
Summary
Improper implant placement during osteotomy preparation can lead to adjacent tooth devitalization. Prompt intervention, including fixture removal and endodontic therapy, can facilitate site repair.
Area of Science:
- Dental Implantology
- Endodontics
- Oral Surgery
Background:
- Dental implant placement requires careful surgical planning and execution.
- Adjacent tooth vitality must be preserved during osteotomy preparation.
- Communication between the implant surgeon and restorative dentist is crucial.
Observation:
- A case report details implant fixture placement without prior dental consultation or intraoperative radiography.
- The patient developed symptoms and periapical pathology on an adjacent mandibular canine one month post-surgery.
- Radiographs confirmed implant base penetration into the canine's apical region, causing traumatic injury.
Findings:
- The traumatic apical injury resulted in the devitalization of the adjacent mandibular canine.
- Surgical intervention involved prompt removal of the implant fixture.
- Endodontic therapy was performed on the devitalized canine.
Implications:
- This case highlights the critical importance of meticulous osteotomy preparation to avoid adjacent tooth damage.
- Adherence to standard surgical protocols, including radiography and interdisciplinary communication, is essential for successful implant outcomes.
- Timely management of complications can lead to successful osseous site repair and tooth salvage.