Treatment of protruding osseo integrated dental implant
Journal name: Journal of Indian Society of Periodontology
Original article title: Treatment of protruding osseo integrated dental implant
The Journal of Indian Society of Periodontology (JISP) publishes original scientific articles on periodontology (the study of supporting structures of teeth) and oral implantology. It is a bimonthly open-access journal with special issues for specific occasions.
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Original source:
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Aravind Buddula, Phillip Sheridan, Ayman Balshe
Journal of Indian Society of Periodontology:
(A bimonthly open-access journal)
Full text available for: Treatment of protruding osseo integrated dental implant
Year: 2010 | Doi: 10.4103/0972-124X.65440
Copyright (license): CC BY-NC-SA
Summary of article contents:
Introduction
Titanium dental implants have been utilized for over three decades in addressing both partial and complete edentulism, with osseointegration being a crucial factor for their stability and function. Proper implant placement significantly influences the success of osseointegration, as the dimensions of the residual alveolar bone and surrounding anatomical structures dictate the optimal position and path of insertion for implants. This case report explores the treatment of a malpositioned osseo-integrated dental implant that had perforated the buccal cortex of the alveolar bone, highlighting the clinical implications of improper implant placement.
Importance of Proper Implant Placement
The case presented involves a 61-year-old male whose implant-supported crown at tooth site 14 had resulted in a noticeable swelling due to the apical portion of the implant perforating the buccal cortical bone. Clinical examinations, including a peri-apical radiograph, indicated no signs of peri-implant bone loss or infection, although there was a raised, firm area in the gingival tissue. Surgical intervention was undertaken to modify the protruding implant, which involved exposing the implant, trimming the protruding portion, and reshaping it to align more closely with the buccal plate of bone. This approach underscored the need for careful planning and execution during the initial implant placement, as improper techniques can lead to complications necessitating corrective procedures.
Conclusion
The conservative approach taken in this case—modifying the protruding portion of the implant rather than opting for removal—was justified based on the potential trauma, cost, and time associated with implant replacement. The absence of signs of infection and stable periodontal conditions post-treatment suggest that the implant is likely to function effectively for the long term. This case reinforces the importance of proper planning in dental implant placement, as well as the efficacy of conservative treatment options when faced with complications from malpositioned implants.
FAQ section (important questions/answers):
What was the patient's main complaint regarding the dental implant?
The patient, a 61-year-old male, reported swelling at the site of tooth 14, where a dental implant was placed, causing discomfort and a visible raised area in the gingival tissue.
What method was used for surgical intervention on the implant?
Surgical exploration involved raising a buccal flap and using a high-speed bur to remove the protruding portion of the implant, followed by reshaping it to be flush with the buccal bone.
What were the outcomes of the surgical intervention?
The area healed uneventfully without needing to remove the implant. The patient was observed at four, three, and six months post-surgery, showing successful healing.
What factors might lead to improper dental implant placement?
Height and width of the residual alveolus, surrounding anatomical structures, and not utilizing flap surgery during placement can lead to improper positioning of dental implants.
Why was conservative treatment chosen over implant removal?
The authors believed that the trauma, cost, and time required for implant removal outweighed the benefits, and opted for conservative treatment to maintain the functioning implant.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Treatment of protruding osseo integrated dental implant�. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Surrounding:
Keyword 'Surrounding' pertains to the anatomical context in which the dental implant operates. Understanding the surrounding tissues, including alveolar bone and soft tissue, is crucial for the successful placement and integration of dental implants, influencing the implant's stability and overall treatment outcome in edentulous patients.
2) Sign:
The term 'Sign' refers to the clinical indicators that inform the diagnosis and management of the implant situation. In this context, signs such as a raised area or lack of infection can guide healthcare providers in making decisions about surgical interventions and the management of patient concerns.
3) Swelling:
The keyword 'Swelling' is significant as it denotes the primary symptom that prompted the patient to seek evaluation for the implant issue. Swelling at the implant site often indicates potential complications or irritation that need to be assessed and managed appropriately to prevent further complications.
4) Incision:
The word 'Incision' is relevant as it describes the surgical approach taken to address the malpositioned implant. Incisions provided access to the underlying structures, allowing for careful exploration, modification, and repositioning of the implant, thereby ensuring a successful intervention and promoting healing.
5) Male (Mālē):
The term 'Male' indicates the gender of the patient involved in the case report. Gender can influence various aspects of dental treatment and patient management, including anatomical considerations and psychological factors, which may affect treatment planning and patient outcomes in dental implant cases.
6) Discussion:
The keyword 'Discussion' highlights the authors' intent to reflect on broader themes stemming from the case, including best practices in implant placement. This section elaborates on surgical techniques and considerations, providing valuable insights that could influence future practices and patient care regarding dental implants.
Other Science Concepts:
Discover the significance of concepts within the article: �Treatment of protruding osseo integrated dental implant�. Further sources in the context of Science might help you critically compare this page with similair documents:
Local anesthesia, Conservative treatment, Surgical Site, Surgical exploration, Flapless surgery.