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Implant periapical lesion. A case series report.

Rosendahl, Kerstin ; Dahlberg, Gunnar LU ; Kisch, Jenö and Nilner, Krister (2009) In Swedish Dental Journal 33(2). p.49-58
Abstract
One complication in implant dentistry is the implant periapical lesion-IPL--which is a lesion around the apex of a stable implant diagnosed radiographically as a radioluscency in the bone at the apical part of an implant.The IPL can perform with or without clinical symptoms such as tenderness, swelling, suppuration and fistulation. This report describes 4 cases of IPL which were treated surgically with sectioning and removal of the affected portion of a stable implant and thorough debridement of the granulomatous tissue around it. This treatment was, up to 4 years after treatment, successful in all 4 cases. It can also from this report be concluded that IPL is a rather rare condition and that it can occur at any stage of implant treatment,... (More)
One complication in implant dentistry is the implant periapical lesion-IPL--which is a lesion around the apex of a stable implant diagnosed radiographically as a radioluscency in the bone at the apical part of an implant.The IPL can perform with or without clinical symptoms such as tenderness, swelling, suppuration and fistulation. This report describes 4 cases of IPL which were treated surgically with sectioning and removal of the affected portion of a stable implant and thorough debridement of the granulomatous tissue around it. This treatment was, up to 4 years after treatment, successful in all 4 cases. It can also from this report be concluded that IPL is a rather rare condition and that it can occur at any stage of implant treatment, in these cases from 4 months up to 11 years after implant installation. Finally there is a discussion about the aetiology of IPL and a comparison to findings in other reports on IPL and it is concluded that it is difficult to claim that there is a single cause to IPL. Rather it is evident that the condition might be a sequel of the summation of many possible causes.This summation exceeds the local biological threshold for the individual patient. (Less)
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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Tooth Injuries: surgery, Tooth Injuries: radiography, Periodontitis: therapy, Periodontitis: etiology, Periodontitis: diagnosis, Incisor: radiography, Incisor: injuries, Incisor: abnormalities, Granuloma: therapy, Dental Implants: adverse effects, Alveolar Bone Loss: therapy, Alveolar Bone Loss: diagnosis, Alveolar Bone Loss: etiology
in
Swedish Dental Journal
volume
33
issue
2
pages
49 - 58
publisher
Sveriges Tandläkarförbund
external identifiers
  • pmid:19728576
  • scopus:68149123559
ISSN
0347-9994
language
English
LU publication?
yes
id
97b45334-a94d-4c20-ba86-eac560a9549a (old id 1483864)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/19728576?dopt=Abstract
date added to LUP
2016-04-04 09:18:43
date last changed
2022-01-29 17:16:56
@article{97b45334-a94d-4c20-ba86-eac560a9549a,
  abstract     = {{One complication in implant dentistry is the implant periapical lesion-IPL--which is a lesion around the apex of a stable implant diagnosed radiographically as a radioluscency in the bone at the apical part of an implant.The IPL can perform with or without clinical symptoms such as tenderness, swelling, suppuration and fistulation. This report describes 4 cases of IPL which were treated surgically with sectioning and removal of the affected portion of a stable implant and thorough debridement of the granulomatous tissue around it. This treatment was, up to 4 years after treatment, successful in all 4 cases. It can also from this report be concluded that IPL is a rather rare condition and that it can occur at any stage of implant treatment, in these cases from 4 months up to 11 years after implant installation. Finally there is a discussion about the aetiology of IPL and a comparison to findings in other reports on IPL and it is concluded that it is difficult to claim that there is a single cause to IPL. Rather it is evident that the condition might be a sequel of the summation of many possible causes.This summation exceeds the local biological threshold for the individual patient.}},
  author       = {{Rosendahl, Kerstin and Dahlberg, Gunnar and Kisch, Jenö and Nilner, Krister}},
  issn         = {{0347-9994}},
  keywords     = {{Tooth Injuries: surgery; Tooth Injuries: radiography; Periodontitis: therapy; Periodontitis: etiology; Periodontitis: diagnosis; Incisor: radiography; Incisor: injuries; Incisor: abnormalities; Granuloma: therapy; Dental Implants: adverse effects; Alveolar Bone Loss: therapy; Alveolar Bone Loss: diagnosis; Alveolar Bone Loss: etiology}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{49--58}},
  publisher    = {{Sveriges Tandläkarförbund}},
  series       = {{Swedish Dental Journal}},
  title        = {{Implant periapical lesion. A case series report.}},
  url          = {{http://www.ncbi.nlm.nih.gov/pubmed/19728576?dopt=Abstract}},
  volume       = {{33}},
  year         = {{2009}},
}