Histopathological Spectrum of Bone Lesions Associated with Dental Implant Failure: Osteomyelitis and Beyond
Identifieur interne : 000863 ( Pmc/Corpus ); précédent : 000862; suivant : 000864Histopathological Spectrum of Bone Lesions Associated with Dental Implant Failure: Osteomyelitis and Beyond
Auteurs : Anna Shnaiderman-Shapiro ; Dan Dayan ; Amos Buchner ; Ignat Schwartz ; Ran Yahalom ; Marilena VeredSource :
- Head and Neck Pathology [ 1936-055X ] ; 2014.
Abstract
Early or late post-implant placement complications are usually localized infectious/inflammatory processes and treated accordingly. If the healing process does not take place within a reasonable timeframe, the possibility of a pathologic process beyond localized infection/inflammation should be suspected. We describe a radiological/histopathological spectrum of bony lesions ranging from inflammatory to malignant lesions surrounding failed dental implants. Five cases of mandibular dental implant failure that clinically, radiologically and histopathologically appeared to be inflammatory processes are presented. The failure of the dental implants was immediate in two cases and late in the remaining three. The radiological features were essentially similar for all five, and they included radiolucent or mixed radiolucent–radiopaque lesions with poorly defined borders. Three lesions were limited to the area of the failed implant, while the other two extended to a large part of the mandible. The histopathological findings ranged from acute osteomyelitis and chronic osteomyelitis with features of a fibro-osseous-like lesion and occasional rimming of atypical osteoblasts to osteogenic sarcoma that was admixed with a component of osteomyelitis (diagnosis of the latter was achieved only after a series of biopsies). In-depth investigative procedures are imperative in order to establish an accurate diagnosis whenever the histopathological diagnosis is inconsistent with persisting clinical signs and symptoms in bone lesions associated with failed dental implants.
Url:
DOI: 10.1007/s12105-014-0538-4
PubMed: 24687889
PubMed Central: 4382485
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PMC:4382485Le document en format XML
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<author><name sortKey="Dayan, Dan" sort="Dayan, Dan" uniqKey="Dayan D" first="Dan" last="Dayan">Dan Dayan</name>
<affiliation><nlm:aff id="Aff1">Department of Oral Pathology and Oral Medicine, School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel</nlm:aff>
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<author><name sortKey="Buchner, Amos" sort="Buchner, Amos" uniqKey="Buchner A" first="Amos" last="Buchner">Amos Buchner</name>
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<author><name sortKey="Vered, Marilena" sort="Vered, Marilena" uniqKey="Vered M" first="Marilena" last="Vered">Marilena Vered</name>
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<series><title level="j">Head and Neck Pathology</title>
<idno type="ISSN">1936-055X</idno>
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<front><div type="abstract" xml:lang="en"><p>Early or late post-implant placement complications are usually localized infectious/inflammatory processes and treated accordingly. If the healing process does not take place within a reasonable timeframe, the possibility of a pathologic process beyond localized infection/inflammation should be suspected. We describe a radiological/histopathological spectrum of bony lesions ranging from inflammatory to malignant lesions surrounding failed dental implants. Five cases of mandibular dental implant failure that clinically, radiologically and histopathologically appeared to be inflammatory processes are presented. The failure of the dental implants was immediate in two cases and late in the remaining three. The radiological features were essentially similar for all five, and they included radiolucent or mixed radiolucent–radiopaque lesions with poorly defined borders. Three lesions were limited to the area of the failed implant, while the other two extended to a large part of the mandible. The histopathological findings ranged from acute osteomyelitis and chronic osteomyelitis with features of a fibro-osseous-like lesion and occasional rimming of atypical osteoblasts to osteogenic sarcoma that was admixed with a component of osteomyelitis (diagnosis of the latter was achieved only after a series of biopsies). In-depth investigative procedures are imperative in order to establish an accurate diagnosis whenever the histopathological diagnosis is inconsistent with persisting clinical signs and symptoms in bone lesions associated with failed dental implants.</p>
</div>
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<pmc article-type="case-report"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Head Neck Pathol</journal-id>
<journal-id journal-id-type="iso-abbrev">Head Neck Pathol</journal-id>
<journal-title-group><journal-title>Head and Neck Pathology</journal-title>
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<issn pub-type="ppub">1936-055X</issn>
<issn pub-type="epub">1936-0568</issn>
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<article-id pub-id-type="publisher-id">538</article-id>
<article-id pub-id-type="doi">10.1007/s12105-014-0538-4</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject>
</subj-group>
</article-categories>
<title-group><article-title>Histopathological Spectrum of Bone Lesions Associated with Dental Implant Failure: Osteomyelitis and Beyond</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Shnaiderman-Shapiro</surname>
<given-names>Anna</given-names>
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<xref ref-type="aff" rid="Aff1"></xref>
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<contrib contrib-type="author"><name><surname>Dayan</surname>
<given-names>Dan</given-names>
</name>
<xref ref-type="aff" rid="Aff1"></xref>
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<contrib contrib-type="author"><name><surname>Buchner</surname>
<given-names>Amos</given-names>
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<xref ref-type="aff" rid="Aff1"></xref>
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<contrib contrib-type="author"><name><surname>Schwartz</surname>
<given-names>Ignat</given-names>
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<contrib contrib-type="author"><name><surname>Yahalom</surname>
<given-names>Ran</given-names>
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<xref ref-type="aff" rid="Aff3"></xref>
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<contrib contrib-type="author" corresp="yes"><name><surname>Vered</surname>
<given-names>Marilena</given-names>
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<address><phone>+972-3-6409305</phone>
<fax>+972-3-6409250</fax>
<email>mvered@post.tau.ac.il</email>
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<xref ref-type="aff" rid="Aff1"></xref>
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<aff id="Aff1"><label></label>
Department of Oral Pathology and Oral Medicine, School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel</aff>
<aff id="Aff2"><label></label>
Institute of Pathology, The Chaim Sheba Medical Center, Tel Hashomer, Israel</aff>
<aff id="Aff3"><label></label>
Department of Oral and Maxillofacial Surgery, The Chaim Sheba Medical Center, Tel Hashomer, Israel</aff>
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<pub-date pub-type="epub"><day>1</day>
<month>4</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="collection"><month>3</month>
<year>2015</year>
</pub-date>
<volume>9</volume>
<issue>1</issue>
<fpage>140</fpage>
<lpage>146</lpage>
<history><date date-type="received"><day>24</day>
<month>1</month>
<year>2014</year>
</date>
<date date-type="accepted"><day>23</day>
<month>3</month>
<year>2014</year>
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<permissions><copyright-statement>© Springer Science+Business Media New York 2014</copyright-statement>
</permissions>
<abstract id="Abs1"><p>Early or late post-implant placement complications are usually localized infectious/inflammatory processes and treated accordingly. If the healing process does not take place within a reasonable timeframe, the possibility of a pathologic process beyond localized infection/inflammation should be suspected. We describe a radiological/histopathological spectrum of bony lesions ranging from inflammatory to malignant lesions surrounding failed dental implants. Five cases of mandibular dental implant failure that clinically, radiologically and histopathologically appeared to be inflammatory processes are presented. The failure of the dental implants was immediate in two cases and late in the remaining three. The radiological features were essentially similar for all five, and they included radiolucent or mixed radiolucent–radiopaque lesions with poorly defined borders. Three lesions were limited to the area of the failed implant, while the other two extended to a large part of the mandible. The histopathological findings ranged from acute osteomyelitis and chronic osteomyelitis with features of a fibro-osseous-like lesion and occasional rimming of atypical osteoblasts to osteogenic sarcoma that was admixed with a component of osteomyelitis (diagnosis of the latter was achieved only after a series of biopsies). In-depth investigative procedures are imperative in order to establish an accurate diagnosis whenever the histopathological diagnosis is inconsistent with persisting clinical signs and symptoms in bone lesions associated with failed dental implants.</p>
</abstract>
<kwd-group xml:lang="en"><title>Keywords</title>
<kwd>Dental implant failure</kwd>
<kwd>Histopathology</kwd>
<kwd>Osteomyelitis</kwd>
<kwd>Osteogenic sarcoma</kwd>
</kwd-group>
<custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name>
<meta-value>© Springer Science+Business Media New York 2015</meta-value>
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