title: Management of the implant periapical lesion: a case report.
abstract: The implant periapical lesion (IPL), a possible cause for implant failure, may occur from the presence of pre-existing microbial pathology such as endodontic/periodontal lesions. This case report presents a case history related to IPL, which was caused by a pre-existing endodontic lesion. In addition, other possible causes such as surgical trauma and the management strategies of IPL are suggested. For the treatment of the infected form of IPL, a sequential surgical therapy can be utilized. This includes surgical removal of the implant or implant apical region, thorough debridement of the infected lesion, systemic antibiotics, and/or guided bone regeneration. The implant therapy should be directed to minimize the occurrence or consequences of IPL by careful diagnosis, systematic treatment planning, and appropriate treatment procedures.
authors.affiliation: Department of Periodontics/Prevention/Geriatrics, University of Michigan School of Dentistry, Ann Arbor, MI, USA.
authors.forename: Tae-Ju
authors.initials: TJ
authors.lastname: Oh
authors.forename: Joongkyo
authors.initials: J
authors.lastname: Yoon
authors.forename: Hom-Lay
authors.initials: HL
authors.lastname: Wang
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003646:Debridement; D003751:Dental Fistula / Q000150:complications; D015921:Dental Implants; D019232:Dental Restoration Failure; D020878:Device Removal; D005260:Female; D006801:Humans; D008875:Middle Aged; D008963:Molar / Q000293:injuries / Q000601:surgery; D010483:Periapical Diseases / Q000209:etiology / Q000628:therapy*; D014082:Tooth Fractures / Q000601:surgery; D014092:Tooth Root / Q000293:injuries / Q000601:surgery
chemical_list: D000900:Anti-Bacterial Agents; D015921:Dental Implants