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Salvage of Dental Implant Located in Mandibular Odontogenic Cyst. A Conservative Surgical Treatment Proposal

The aim of this case report was to evaluate the use of Partsch I cystotomy in order to preserve a dental implant located in an odontogenic cyst extended from 3.2 to 4.4. A 50 year-old woman showed a circular, well-defined unilocular radiolucent area, Ø2.5 cm, in the right mandibular region with an o...

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Autores principales: Troiano, Antonio, Lo Giudice, Giorgio, De Luca, Roberto, Lo Giudice, Fabrizio, D’Amato, Salvatore, Tartaro, Gianpaolo, Colella, Giuseppe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7344506/
https://www.ncbi.nlm.nih.gov/pubmed/32403226
http://dx.doi.org/10.3390/dj8020049
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author Troiano, Antonio
Lo Giudice, Giorgio
De Luca, Roberto
Lo Giudice, Fabrizio
D’Amato, Salvatore
Tartaro, Gianpaolo
Colella, Giuseppe
author_facet Troiano, Antonio
Lo Giudice, Giorgio
De Luca, Roberto
Lo Giudice, Fabrizio
D’Amato, Salvatore
Tartaro, Gianpaolo
Colella, Giuseppe
author_sort Troiano, Antonio
collection PubMed
description The aim of this case report was to evaluate the use of Partsch I cystotomy in order to preserve a dental implant located in an odontogenic cyst extended from 3.2 to 4.4. A 50 year-old woman showed a circular, well-defined unilocular radiolucent area, Ø2.5 cm, in the right mandibular region with an oral implant intruding inside it. The overdenture in the mandibular right site showed no clinical mobility. The authors decided to perform a surgical treatment aimed to preserve the implant. The patient underwent Partsch I surgery followed by iodoform gauze insertion replaced weekly for one month, revision of the previous orthograde endodontic treatments, and an acrylic resin obturator prosthesis application for the following two months. The twelve month follow-up showed no clinical mobility of the right lateral mandibular implant prostheses. Radiographical analysis revealed cystic lesion healing and perimplant bone regeneration. This report highlights the opportunity to apply cystotomy when the cyst involves a dental implant and undermines its stability. This possibility is offered by the peculiar clinical scenario where the implant was stabilized by the presence of a previous prosthetic fixation. Our study led to the application of an operative protocol that allowed for the preservation of the implant.
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spelling pubmed-73445062020-07-14 Salvage of Dental Implant Located in Mandibular Odontogenic Cyst. A Conservative Surgical Treatment Proposal Troiano, Antonio Lo Giudice, Giorgio De Luca, Roberto Lo Giudice, Fabrizio D’Amato, Salvatore Tartaro, Gianpaolo Colella, Giuseppe Dent J (Basel) Case Report The aim of this case report was to evaluate the use of Partsch I cystotomy in order to preserve a dental implant located in an odontogenic cyst extended from 3.2 to 4.4. A 50 year-old woman showed a circular, well-defined unilocular radiolucent area, Ø2.5 cm, in the right mandibular region with an oral implant intruding inside it. The overdenture in the mandibular right site showed no clinical mobility. The authors decided to perform a surgical treatment aimed to preserve the implant. The patient underwent Partsch I surgery followed by iodoform gauze insertion replaced weekly for one month, revision of the previous orthograde endodontic treatments, and an acrylic resin obturator prosthesis application for the following two months. The twelve month follow-up showed no clinical mobility of the right lateral mandibular implant prostheses. Radiographical analysis revealed cystic lesion healing and perimplant bone regeneration. This report highlights the opportunity to apply cystotomy when the cyst involves a dental implant and undermines its stability. This possibility is offered by the peculiar clinical scenario where the implant was stabilized by the presence of a previous prosthetic fixation. Our study led to the application of an operative protocol that allowed for the preservation of the implant. MDPI 2020-05-11 /pmc/articles/PMC7344506/ /pubmed/32403226 http://dx.doi.org/10.3390/dj8020049 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Troiano, Antonio
Lo Giudice, Giorgio
De Luca, Roberto
Lo Giudice, Fabrizio
D’Amato, Salvatore
Tartaro, Gianpaolo
Colella, Giuseppe
Salvage of Dental Implant Located in Mandibular Odontogenic Cyst. A Conservative Surgical Treatment Proposal
title Salvage of Dental Implant Located in Mandibular Odontogenic Cyst. A Conservative Surgical Treatment Proposal
title_full Salvage of Dental Implant Located in Mandibular Odontogenic Cyst. A Conservative Surgical Treatment Proposal
title_fullStr Salvage of Dental Implant Located in Mandibular Odontogenic Cyst. A Conservative Surgical Treatment Proposal
title_full_unstemmed Salvage of Dental Implant Located in Mandibular Odontogenic Cyst. A Conservative Surgical Treatment Proposal
title_short Salvage of Dental Implant Located in Mandibular Odontogenic Cyst. A Conservative Surgical Treatment Proposal
title_sort salvage of dental implant located in mandibular odontogenic cyst. a conservative surgical treatment proposal
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7344506/
https://www.ncbi.nlm.nih.gov/pubmed/32403226
http://dx.doi.org/10.3390/dj8020049
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