Periapical implant lesion : a systematic review

Periapical implant lesion : a systematic review

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Periapical implant lesion : a systematic review

Show simple item record Blaya Tárraga, Juan Antonio es Cervera Ballester, Juan es Peñarrocha Oltra, David es Peñarrocha Diago, Miguel es 2018-05-02T12:04:11Z 2018-05-02T12:04:11Z 2017 es
dc.description.abstract The aim of this study was to systematically review the evidence for periapical implant lesion, which makes a patient more susceptible to the periapical lesion, frequency, symptoms, signs (including radiological findings) and possible treatment options. A systematic literature review and analysis of publications included in PubMed, Embase and Cochrane; articles published until March 2016; with a populations, exposures and outcomes (PEO) search strategy was performed, focused on the issue: ?In patients with periapical lesion to the implant during the osseointegration, what symptoms, signs, and changes in complementary examination manifested, for according to that stage, be intervened with the appropriate approach??. The set criteria for inclusion were peer-reviewed articles. From a total of 212 papers identified, 36 studies were included in this systematic review, with 15461 implants evaluated and 183 periapical implant lesions. Which 8 papers included more than 5 cases and 28 included equal or less than 5 cases. Analysis of the papers revealed that periapical implant lesion is classified according to evolution stages into acute (non-suppurated and suppurated) and subacute (or suppurated-fistulized). In the acute stage and in the subacute if there is no loss of implant stability, the correct treatment approach is implant periapical surgery. In the subacute stage associated with implant mobility the implant must be removed. Evidence on the subject is very limited, there are few studies with small sample, without homogeneity of criteria for diagnosing the disease and without design of scientific evidence. Currently etiology lacks consensus. The early diagnosis of periapical implant periapical lesions during the osseointegration phase and early treatment, will lead to a higher survival rate of implants treated, hence preventing the need for implant extraction. es
dc.source Blaya Tárraga, Juan Antonio ; Cervera Ballester, Juan ; Peñarrocha Oltra, David ; Peñarrocha Diago, Miguel. Periapical implant lesion : a systematic review. En: Medicina oral, patología oral y cirugía bucal. Ed. inglesa, 22 6 2017: 13- es
dc.title Periapical implant lesion : a systematic review es
dc.type info:eu-repo/semantics/article en
dc.type info:eu-repo/semantics/publishedVersion en
dc.subject.unesco UNESCO::CIENCIAS MÉDICAS es
dc.identifier.doi 10.4317/medoral.21698 es

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