title: Update in dental implant periapical surgery.
abstract: Implant periapical lesions are infectious-inflammatory alterations surrounding an implant apex, and can be caused by a number of situations--including contamination at instrumentation, overheating of bone, and the prior existence of bone pathology. The diagnosis is based on the clinical manifestations and radiological findings, where a radiotransparency can be seen at periapical level. The lesions are classified according to their evolutive stage as either acute (non-suppurated and suppurated) or chronic (or periapical abscess). The management of implant periapical lesions comprises periapical surgery with curettage and irrigation in the acute phase, or implant extraction when the bone surface is affected and/or primary fixation is lost (chronic phase).
authors.affiliation: Valencia University Medical and Dental School, Valencia, Spain. Miguel.Penarrocha@uv.es
authors.forename: Miguel
authors.initials: M
authors.lastname: Peñarrocha Diago
authors.forename: Araceli
authors.initials: A
authors.lastname: Boronat López
authors.forename: Joana
authors.initials: J
authors.lastname: Lamas Pelayo
mesh_terms: D003758:Dental Implantation, Endosseous / Q000009:adverse effects; D015921:Dental Implants / Q000009:adverse effects*; D006801:Humans; D010483:Periapical Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D010485:Periapical Periodontitis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery
chemical_list: D015921:Dental Implants