Periimplantitis retrógrada. A propósito de un abordaje conservador: presentación de un caso clínico

Adel  Martinez Martinez; Kenny  Camargo Coronell; Silvana  Branca Ferrer

doi:10.16925/2357-4607.2020.02.10

Retrograde periimplantitis. Purpose of a conservative approach : presentation of a clinical case

Case Report

https://doi.org/10.16925/2357-4607.2020.02.10

Adel Martinez Martinez Ver Biografía

Universidad de Cartagena

Kenny Camargo Coronell Ver Biografía

Universidad de Cartagena

Silvana Branca Ferrer Ver Biografía

Universidad de Cartagena

Retrograde peri-implantitis is a novel entity that requires the clinician to know the clinical and radiographic characteristics that allow its diagnosis and management, it is considered an infectious and inflammatory pathology characterized by the presence of a clinically symptomatic apical lesion, diagnosed by radiolucency that develops shortly after implant insertion. The objective of this article is to know the entity's diagnostic and therapeutic criteria, exploring its conservative management through a clinical case The authors present the case of a patient with a history of asymptomatic apical periodontitis associated with the right maxillary central incisor, which was extracted and after bone regeneration of the area and placement of a dental implant, she presented a fistulous tract and an apical lesion associated with a dental implant. After a conservative management with two different antibiotic regimens, the infectious and inflammatory condition was eliminated, therapeutic option that allows to resolve the entity without the need for surgical intervention.

Keywords: dental implants, periapical periodontitis, infection control, dental, radiography dental digital, alveolar bone grafting

(1) Quirynen M, Vogels R, Alsaadi G, Naert I, Jacobs R, Van Steenberghe D. Predisposing conditions for retrograde peri-implantitis, and treatment suggestions. Clin Oral Implants Res. 2005 Oct; 16(5): 599-608. doi: https://doi.org/10.7860/JCDR/2012/4168.2575

(2) Reiser GM, Nevins M. The implant periapical lesion: etiology, prevention, and treatment. Compend Contin Educ Dent. 1995 Aug; 16(8): 768-772.

(3) Chang LC, Hsu CS, Lee YL. Successful medical treatment of an implant periapical lesion: a case report. Chang Gung Med J. 2011; 34(1): 109-14. doi: https://doi.org/10.7860/JCDR/2012/4168.2575

(4) Siegenthaler D, Jung R, Hoderegger C, Roos M, Hammerle Ch. Replacement of teeth exhibiting periapical pathology by inmediate implants. A prospective, controlled clinical trial. Clin Oral Impl Res. 2007; 18: 727-37. doi: https://doi.org/10.7860/JCDR/2012/4168.2575

(5) Zhou W, Han Ch, Li D, Li Y, Song YZ. Endodontic treatment of teeth induces retrograde peri- implantitis. Clin Oral Impl Res. 2009; 20: 1326-32. doi: https://doi.org/10.7860/JCDR/2012/4168.2575

(6) Ayangco L, Sheridan PJ. Development and treatment of retrograde peri-implantitis involving a site with a history of failed endodontic and apicoectomy procedures:a series of reports. Int J Oral Maxillofac Implants. 2001; 16: 412–7.

(7) Sarmast ND, Wang HH, Sajadi AS, Angelov N, Dorn SO. Classification and Clinical Management of Retrograde Peri-implantitis Associated with Apical Periodontitis: A Proposed Classification System and Case Report. J Endod 2017 Nov; 43(11): 1921-1924. doi: 10.7860/JCDR/2012/4168.2575

(8) Romanos GE, Froum S, Costa MS, Meitner S, Tarnow DP. Implant periapical lesions: etiology and treatment options. J Oral Implantol. 2011; 37: 53-63. doi: https://doi.org/10.7860/JCDR/2012/4168.2575

(9) García CA, Donohue CA, Cuevas GM, Ávila VR, Cuevas GJ. Periimplantitis: revisión de la literatura. Int J Odontostomat. 2016; 10(2): 255-260. doi: https://doi.org/10.7860/JCDR/2012/4168.2575

(10) Casado PL, Pereira MC, Duarte ME, Granjeiro JM. History of chronic periodontitis is a high risk indicator for peri-implant disease. Braz Dent J. 2013; 24(2): 136-41. doi: https://doi.org/10.7860/JCDR/2012/4168.2575

(11) Maruyama N, Maruyama F, Takeuchi Y, Aikawa C, Izumi Y, Nakagawa I. Intraindividual variation in core microbiota in peri-implantitis and periodontitis. Sci Rep. 2014; 4:6602. doi: https://doi.org/10.7860/JCDR/2012/4168.2575

(12) Ata AJ, Candel MM, Flichy FA, Peñarrocha OD, Balaguer MJ, Peñarrocha DM. Peri-implantitis: associated microbiota and treatment. Med Oral Patol Oral Cir Bucal. 2011; 16(7): 937-43. doi: https://doi.org/10.7860/JCDR/2012/4168.2575

(13) Dhir S. Biofilm and dental implant: The microbial link. J Indian Soc Periodontol 2013; 17(1): 5-11. doi: https://doi.org/10.7860/JCDR/2012/4168.2575

(14) Parrilla García MS, Mas Chavarri A, Tafalla Pastor H, López Vacas M, Rodríguez Molinero J, Sobrino del Riego JA, et al. Periimplantitis. Etiología, factores de riesgo y tratamiento; Gaceta Dental. 2008;197:160-167

(15) Mohamed JB, Alam MN, Singh G, Chandrasekaran SC. The management of retrograde peri-implantitis: a case report. J Clin Diagn Res. 2012; 6(9):1600-2. doi: https://doi.org/10.7860/JCDR/2012/4168.2575

Retrograde periimplantitis. Purpose of a conservative approach: presentation of a clinical case. (2020). Revista Nacional De Odontología, 16(2), 1-16. https://doi.org/10.16925/2357-4607.2020.02.10

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Retrograde periimplantitis. Purpose of a conservative approach : presentation of a clinical case

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