逆行性种植体周围炎--病例报告与文献综述

Sowmya Gujjar Vishnurao, M. Astekar
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摘要

逆行种植相关的种植体周围炎(RPI)是骨结合种植体的根尖部分,其冠状部分与种植体保持良好的骨接触,是种植体唯一受到根尖周围病变(IPL)影响的部分,是一种原发性微生物炎症性疾病。根尖放射线和临床症状是诊断 RPI 的主要因素。在种植体植入后的最初几周,如果不能及时发现和治疗,这种疾病可能会导致种植失败。RPI 与多种病因有关,如手术创伤和原有的微生物疾病。此外,还采用了多种技术根据不同的标准对 RPI 进行分类。迄今为止,人们一直认为移除有缺陷的植入物以及非手术和手术治疗可以有效解决 RPI 问题。除了提供重要的文献资料外,本文还解释了种植体根尖病变的起源、诊断、预防和治疗方法,并提供了一个种植体根尖周疾病的病例。此外,我们还描述了一例罕见的 RPI 病例,患者 47 岁,女性,上颌后部种植部位疼痛。
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Retrograde peri implantitis – A case report with literature review
Retrograde implant-related peri-implantitis (RPI), the apical part of an osseointegrated implant, which maintains good bone-to-implant contact in its coronal portion, is the sole part of the implant that is affected by peri apical lesion (IPL), a primary microbial inflammatory disease. Apical radiolucency and clinical symptoms are the main factors used to diagnose RPI. In the initial weeks following implant implantation, this disease may be upshot in implant failure if it is not identified and treated promptly. RPI has been linked to numerous etiologies, such as surgical trauma and preexisting microbial disease. Furthermore, a variety of techniques have been employed to categorize RPI according to various criteria. Up until now, it has been thought that the removal of defective implants and non-surgical and surgical treatment may effectively address RPI. In addition to providing important literature, this article explains the genesis, diagnosis, prevention, and treatment approaches of implant apical lesions and provides a case of implant periapical diseases. Additionally, we describe a rare instance of RPI in a 47-year-old female patient who experienced pain at the implant site in the posterior maxillary region.
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