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Periapical implant pathology
1Department of Periodontics, New York University College of Dentistry, NY, USA.
The Journal of Oral Implantology
|January 20, 1999
Summary
Periapical implant pathology involves adjacent lesions merging with dental implants. This study proposes two types, implant-to-tooth and tooth-to-implant, impacting osseointegration.
Area of Science:
- Dental Implantology
- Oral Pathology
Background:
- Periapical implant pathology is a dental lesion where adjacent pathology merges with an implant's apex.
- Understanding the etiology of this lesion is crucial for classification and treatment.
Purpose of the Study:
- To propose a classification system for periapical implant pathology based on etiology.
- To document two distinct case types of periapical implant pathology.
Main Methods:
- Presentation of four clinical cases.
- Analysis of the etiological factors leading to periapical implant pathology.
Main Results:
- Two case types were identified: Type 1 (implant-to-tooth) and Type 2 (tooth-to-implant).
- Type 1 involves damage during osteotomy preparation, leading to pulp devitalization.
- Type 2 involves adjacent periapical pathology developing post-implant placement.
Conclusions:
- The proposed classification clarifies the role of etiology in periapical implant pathology.
- Both types of pathology can contaminate the implant fixture, inhibiting osseointegration.
- This classification aids in understanding and managing implant complications.