Management of Early Implant Failure Associated with A Remnant: A Case Report

Jungwon Lee; Dongseob Lee; Young-Chang Ko; Jungwoo Jung; Seunghee Lee; Yong-Moo Lee

doi:10.32542/implantology.2023025

All Issue

2023 Vol.27, Issue 4 Preview Page

Clinical or Case Report

Management of Early Implant Failure Associated with A Remnant: A Case Report

31 December 2023. pp. 223-231

PDF XML

Abstract

Implant restoration, a predictive procedure for edentulous areas, can suffer from early failure due to several factors. While thorough debridement of the extraction socket is standard practice for implant placement, unintentional remnant can occur. This case report presents an early implant failure following placement and guided bone regeneration. Radiological examination revealed radiopaque material around the implant, prompting material removal and subsequent biopsy. The histological analysis identified the area surrounding the bone material as granulation tissue containing chronic inflammatory cells, while the hard tissue area exhibited hypercementosis or periapical cemento-osseoeous dysplasia. These findings suggest unintentional placement of the implant into a remnant following the previous extraction. This case highlights the importance of thorough debridement after tooth extraction. Moreover, pre-implant placement radiological evaluation is necessary to avoid implant failure associated with unintentionally retaining lesion.

Keywords

Cemento-osseous dysplasia

Dental implant

Hypercementosis

Tooth

References

Yum H, Han HS, Kim K, Kim S, Cho YD. The cumulative survival rate of sandblasted, large-grit, acid-etched dental implants: a retrospective analysis. J Periodontal Implant Sci 2023 (Epub ahead of print). 10.5051/jpis.230144007237524380

Nam DH, Kim PJ, Koo KT, Seol YJ, Lee YM, Ku Y, et al. The cumulative survival rate of dental implants with micro-threads: a long-term retrospective study. J Periodontal Implant Sci 2023 (Epub ahead of print). 10.5051/jpis.220324016237336523

Hwang I, Kim TI, Cho YD. Clinical evaluation of 3.0-mm narrow-diameter implants: a retrospective study with up to 5 years of observation. J Periodontal Implant Sci 2023 (Epub ahead of print). 10.5051/jpis.230082004137336522

Kang DY, Kim M, Lee SJ, Cho IW, Shin HS, Caballé-Serrano J, et al. Early implant failure: a retrospective analysis of contributing factors. J Periodontal Implant Sci 2019;49:287-98. 10.5051/jpis.2019.49.5.28731681486PMC6819696

Pye AD, Lockhart DE, Dawson MP, Murray CA, Smith AJ. A review of dental implants and infection. J Hosp Infect 2009;72:104-10. 10.1016/j.jhin.2009.02.01019329223

Buser D, Mericske-Stern R, Bernard JP, Behneke A, Behneke N, Hirt HP, et al. Long-term evaluation of non-submerged ITI implants. Part 1: 8-year life table analysis of a prospective multi-center study with 2359 implants. Clin Oral Implants Res 1997;8:161-72. 10.1034/j.1600-0501.1997.080302.x9586460

Park SH, Sorensen WP, Wang HL. Management and prevention of retrograde peri-implant infection from retained root tips: two case reports. Int J Periodontics Restorative Dent 2004;24:422-33. 10.11607/prd.00.060415506023

Langer L, Langer B, Salem D. Unintentional root fragment retention in proximity to dental implants: a series of six human case reports. Int J Periodontics Restorative Dent 2015;35:305-13. 10.11607/prd.241025909518

Park DM, Kim HG, Kim YK. Anterior implant placement in the presence of maxillary impacted teeth: Case reports. Journal of Dental Implant Research 2021;40:90-6. 10.54527/jdir.2021.40.3.90

Senia ES, Sarao MS. Periapical cemento-osseous dysplasia: a case report with twelve-year follow-up and review of literature. Int Endod J 2015;48:1086-99. 10.1111/iej.1241725425097

Menini M, Pesce P, Delucchi F, Ambrogio G, Canepa C, Carossa M, et al. One-stage versus two-stage technique using two splinted extra-short implants: A multicentric split-mouth study with a one-year follow-up. Clin Implant Dent Relat Res 2022;24:602-10. 10.1111/cid.1311335700161PMC9796435

Lee J, Pyo SW, Cho HJ, An JS, Lee JH, Koo KT, et al. Comparison of implant stability measurements between a resonance frequency analysis device and a modified damping capacity analysis device: an in vitro study. J Periodontal Implant Sci 2020;50:56-66. 10.5051/jpis.2020.50.1.5632128274PMC7040444

Nevins ML, Langer L, Schupbach P. Late Dental Implant Failures Associated with Retained Root Fragments: Case Reports with Histologic and SEM Analysis. Int J Periodontics Restorative Dent 2018;38:9-15. 10.11607/prd.346329240199

Park D, Kim HG, Kim YK. Anterior implant placement in the presence of maxillary impacted teeth: Case reports. J Dent Implant Res 2021;40:90-6. 10.54527/jdir.2021.40.3.90

Quirynen M, Gijbels F, Jacobs R. An infected jawbone site compromising successful osseointegration. Periodontol 2000 2003;33:129-44. 10.1046/j.0906-6713.2002.03311.x12950847

Lee J, Park D, Koo KT, Seol YJ, Lee YM. Comparison of immediate implant placement in infected and non-infected extraction sockets: a systematic review and meta-analysis. Acta Odontol Scand 2018;76:338-45. 10.1080/00016357.2018.145308429611763

Oliva S, Capogreco M, Murmura G, Lupi E, Mariachiara DC, D'Amario M. The socket shield technique and its complications, implant survival rate, and clinical outcomes: a systematic review. J Periodontal Implant Sci 2023;53:99-109. 10.5051/jpis.220178008936468475PMC10133821

Gharpure AS, Bhatavadekar NB. Current Evidence on the Socket-Shield Technique: A Systematic Review. J Oral Implantol 2017;43:395-403. 10.1563/aaid-joi-D-17-0011828604262

Massé L, Garot E, Maureille B, Le Cabec A. Insights into the aetiologies of hypercementosis: A systematic review and a scoring system. Arch Oral Biol 2023;146:105599. 10.1016/j.archoralbio.2022.10559936495812

Lee D, Ko YC, Seol YJ, Koo KT, Lee YM, Lee J. Risk factors impacting the survival of implants replaced following failure: A retrospective study. Clin Implant Dent Relat Res 2023;25:1008-18. 10.1111/cid.1326537574782

Information

Publisher :The Korean Academy of Oral & Maxillofacial Implantology
Publisher(Ko) :대한구강악안면임플란트학회
Journal Title :Journal of implantology and applied sciences
Journal Title(Ko) :대한구강악안면임플란트학회지
Volume : 27
No :4
Pages :223-231
Received Date : 2023-12-05
Revised Date : 2023-12-21
Accepted Date : 2023-12-21
DOI :https://doi.org/10.32542/implantology.2023025

Journal of implantology and applied sciences 대한구강악안면임플란트학회지 ISSN:2765-7833(Print) 2765-7841(Online)

All Issue