The Implant
periapical lesion (IPL=Implant Periapical Lesion) is an infectious-inflammatory
alterations surrounding an implant apex. The diagnosis is
based on the clinical manifestations as pain, swelling,
presence of fistula and radiological findings, where a radiolucent lesion can
be seen in the periapical area.
It is apparent
that IPL has a multifactorial background, mainly caused by the presence of a
pre-existing microbial pathology or surgical trauma during implant surgery.
To date, there
are no clinical protocols for managing IPL. This case report presents a case
history related to IPL, which was caused by a pre-existing lesion. For the
treatment of the infected form of IPL, a sequential surgical therapy can be
utilized, if there is no loss of the implant stability.
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