search for




 

Attachment of Residual Root onto Dental Implant: A Case Report with Literature Review
Int J Clin Prev Dent 2019;15(4):226-230
Published online December 31, 2019;  https://doi.org/10.15236/ijcpd.2019.15.4.226
© 2019 International Journal of Clinical Preventive Dentistry.

Jae-Hyung Im1, Kiseok Hong2

Departments of 1Oral and Maxillofacial Surgery and 2Periodontics, Moon Dental Hospital, Cheonan, Korea
Correspondence to: Kiseok Hong
E-mail: periohong@gmail.com
https://orcid.org/0000-0002-8308-585X
Received October 23, 2019; Revised December 2, 2019; Accepted December 8, 2019.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
It has been generally believed that dental roots are best removed completely before placing dental implant fixtures. While there are a small number of case reports claiming satisfactory results even with root remnants at the implant site, many others consider remaining dental tissue as a cause of dental implant failures. There are also a handful of reports on attachment between the implant surface and dental tissues. To share a rare case of implant-tooth attachment formation along with histologic findings and literature review. A 70-year-old male patient had an upper left 1st molar (#26) removed at a local dental clinic about a month prior to the visit. The patient underwent implant fixture placement on the initial visit. Implant site healed without complications. The prosthesis was delivered in 3 months. Following prosthetic treatment, the patient complained of discomfort and implant mobility. The implant was removed and guided bone regeneration was performed at the explantation site at one week after using platelet-rich fibrin and an organic bovine bone substitute. Tooth-like tissue attachment on the removed implant was noted and the specimen was sent for histologic analysis.
Keywords : dental implant, attachment, cementum, implantitis
References
  1. Gray JL, Vernino AR. The interface between retained roots and dental implants: a histologic study in baboons. J Periodontol 2004;75:1102-6.
    Pubmed CrossRef
  2. Brånemark PI. Osseointegration and its experimental background. J Prosthet Dent 1983;50:399-410.
    CrossRef
  3. Buser D, Warrer K, Karring T. Formation of a periodontal ligament around titanium implants. J Periodontol 1990;61:597-601.
    Pubmed CrossRef
  4. Choi BH. Periodontal ligament formation around titanium implants using cultured periodontal ligament cells: a pilot study. Int J Oral Maxillofac Implants 2000;15:193-6.
  5. Casey DM, Lauciello FR. A review of the submerged-root concept. J Prosthet Dent 1980;43:128-32.
    CrossRef
  6. Fareed K, Khayat R, Salins P. Vital root retention: a clinical procedure. J Prosthet Dent 1989;62:430-4.
    CrossRef
  7. Salama M, Ishikawa T, Salama H, Funato A, Garber D. Advantages of the root submergence technique for pontic site development in esthetic implant therapy. Int J Periodontics Restorative Dent 2007;27:521-7.
  8. Filippi A, Pohl Y, von Arx T. Decoronation of an ankylosed tooth for preservation of alveolar bone prior to implant placement. Dent Traumatol 2001;17:93-5.
    Pubmed CrossRef
  9. Malmgren B, Malmgren O. Rate of infraposition of reimplanted ankylosed incisors related to age and growth in children and adolescents. Dent Traumatol 2002;18:28-36.
    Pubmed CrossRef
  10. Dugan DJ, Getz JB, Epker BN. Root banking to preserve alveolar bone: a review and clinical recommendation. J Am Dent Assoc 1981;103:737-43.
    Pubmed CrossRef
  11. Hürzeler MB, Zuhr O, Schupbach P, Rebele SF, Emmanouilidis N, Fickl S. The socket-shield technique: a proof-of-principle report. J Clin Periodontol 2010;37:855-62.
    Pubmed CrossRef
  12. Mitsias ME, Siormpas KD, Kotsakis GA, Ganz SD, Mangano C, Iezzi G. The root membrane technique: human histologic evidence after five years of function. Biomed Res Int 2017;2017:7269467.
    Pubmed KoreaMed CrossRef
  13. Davarpanah M, Szmukler-Moncler S. Unconventional implant treatment: I. Implant placement in contact with ankylosed root fragments. A series of five case reports. Clin Oral Implants Res 2009;20:851-6.
    Pubmed CrossRef
  14. Guarnieri R, Giardino L, Crespi R, Romagnoli R. Cementum formation around a titanium implant: a case report. Int J Oral Maxillofac Implants 2002;17:729-32.
  15. Langer L, Langer B, Salem D. Unintentional root fragment retention in proximity to dental implants: a series of six human case reports. Int J Periodontics Restorative Dent 2015;35:305-13.
    Pubmed CrossRef
  16. Botticelli D, Berglundh T, Lindhe J. The influence of a biomaterial on the closure of a marginal hard tissue defect adjacent to implants. An experimental study in the dog. Clin Oral Implants Res 2004;15:285-92.
    Pubmed CrossRef
  17. Araújo MG, Lindhe J. Dimensional ridge alterations following tooth extraction. An experimental study in the dog. J Clin Periodontol 2005;32:212-8.
    CrossRef
  18. Evans CD, Chen ST. Esthetic outcomes of immediate implant placements. Clin Oral Implants Res 2008;19:73-80.
  19. Lin GH, Chan HL, Wang HL. Effects of currently available surgical and restorative interventions on reducing midfacial mucosal recession of immediately placed single-tooth implants: a systematic review. J Periodontol 2014;85:92-102.
    Pubmed CrossRef
  20. Aukhil I, Simpson DM, Suggs C, Pettersson E. In vivo differentiation of progenitor cells of the periodontal ligament. An experimental study using physical barriers. J Clin Periodontol 1986;13:862-8.
    Pubmed CrossRef
  21. Silva TA, Rosa AL, Lara VS. Dentin matrix proteins and soluble factors: intrinsic regulatory signals for healing and resorption of dental and periodontal tissues? Oral Dis 2004;10:63-74.
    Pubmed CrossRef
  22. Isidor F, Karring T, Nyman S, Lindhe J. The significance of coronal growth of periodontal ligament tissue for new attachment formation. J Clin Periodontol 1986;13:145-50.
    Pubmed CrossRef
  23. Gottlow J, Nyman S, Lindhe J, Karring T, Wennström J. New attachment formation in the human periodontium by guided tissue regeneration. Case reports. J Clin Periodontol 1986;13:604-16.
    Pubmed CrossRef
  24. Amler MH, Johnson PL, Salman I. Histological and histochemical investigation of human alveolar socket healing in undisturbed extraction wounds. J Am Dent Assoc 1960;61:32-44.
    Pubmed CrossRef
  25. Cardaropoli G, Araújo M, Lindhe J. Dynamics of bone tissue formation in tooth extraction sites. An experimental study in dogs. J Clin Periodontol 2003;30:809-18.
    Pubmed CrossRef


December 2019, 15 (4)