Diffuse Sclerosing Osteomyelitis: A Potential Risk Indicator for Peri-implantitis? A Case Series.

IF 1.7 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Marc Quirynen, Dominique Van der Veken, Pierre Lahoud, Jan Neven, Constantinus Politis, Reinhilde Jacobs
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Abstract

Purpose: To propose diffuse osteomyelitis as risk indicator for peri-implantitis following the loss of several dental implants in patients that present with highly sclerotic bone areas.

Materials and methods: A total of six "nightmare cases"-three of which were treated at the Department of Periodontology of the University Hospitals of the Catholic University Leuven and three of which were referred there for a second opinion-were retrospectively analyzed using radiographs obtained via contact with referring clinicians in order to fully reconstruct the treatment pathway and dental history for each of these patients.

Results: All patients suffered from early implant failures and/or severe peri-implantitis with bone loss and crater formation up to the apical level, as well as the loss of all or nearly all implants. Re-examination of their preand postoperative CBCTs, in combination with several bone biopsies, confirmed the diagnosis of a diffuse sclerosing osteomyelitis in the treated area. Osteomyelitis could be linked to a longstanding history of chronic and/or therapyresistant periodontal/endodontic pathology.

Conclusion: The current retrospective case series seems to suggest that diffuse osteomyelitis should be considered as a risk indicator for severe peri-implantitis. Int J Oral Maxillofac Implants 2023;38:503-515. doi: 10.11607/jomi.9773.

弥漫性硬化性骨髓炎:种植体周围炎的潜在危险指标?案例系列。
目的:提出弥漫性骨髓炎作为高度硬化骨区患者牙种植体丢失后种植体周围炎的危险指标。材料和方法:共有6例“噩梦病例”,其中3例在天主教鲁汶大学大学医院牙周病科治疗,其中3例转诊到那里寻求第二意见,回顾性分析通过与转诊临床医生接触获得的x线片,以便完全重建每个患者的治疗途径和牙科病史。结果:所有患者均发生早期种植体失败和/或严重种植体周围炎,骨量丢失和牙坑形成直至根尖,以及全部或几乎全部种植体丢失。再次检查患者术前和术后cbct,并结合几次骨活检,证实了治疗区域弥漫性硬化性骨髓炎的诊断。骨髓炎可能与长期的慢性和/或治疗抵抗性牙周/牙髓病理有关。结论:目前的回顾性病例系列似乎表明,弥漫性骨髓炎应被视为严重种植体周围炎的危险指标。口腔颌面种植[J]; 2009;38(5): 563 - 568。doi: 10.11607 / jomi.9773。
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来源期刊
CiteScore
3.30
自引率
5.00%
发文量
115
审稿时长
6 months
期刊介绍: Edited by Steven E. Eckert, DDS, MS ISSN (Print): 0882-2786 ISSN (Online): 1942-4434 This highly regarded, often-cited journal integrates clinical and scientific data to improve methods and results of oral and maxillofacial implant therapy. It presents pioneering research, technology, clinical applications, reviews of the literature, seminal studies, emerging technology, position papers, and consensus studies, as well as the many clinical and therapeutic innovations that ensue as a result of these efforts. The editorial board is composed of recognized opinion leaders in their respective areas of expertise and reflects the international reach of the journal. Under their leadership, JOMI maintains its strong scientific integrity while expanding its influence within the field of implant dentistry. JOMI’s popular regular feature "Thematic Abstract Review" presents a review of abstracts of recently published articles on a specific topical area of interest each issue.
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