An Unusual Case of Early Dental Implant Failure in an Otherwise-Healthy Patient due to Actinomycosis
JOURNAL OF ORAL IMPLANTOLOGY, cilt.48, sa.3, ss.226-236, 2022 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 48 Sayı: 3
- Basım Tarihi: 2022
- Doi Numarası: 10.1563/aaid-joi-d-20-00301
- Dergi Adı: JOURNAL OF ORAL IMPLANTOLOGY
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Biotechnology Research Abstracts, EMBASE, MEDLINE
- Sayfa Sayıları: ss.226-236
- Anahtar Kelimeler: actinomycosis, early implant failure, dental implant
- Hacettepe Üniversitesi Adresli: Evet
Özet
Actinomyces species are members of normal oral flora that may give rise to a rare disease???oral actinomycosis. Presented herein is a case of early implant failure associated with actinomycosis in an otherwise healthy 43-year-old female and the treatment adopted after explantation. Clinically, 1 month after the implant placement, the peri-implant soft tissues were hyperplastic and associated with an excessive tissue reaction, bleeding, suppuration, deep probing depth, and implant mobility of #19 and #20 implants. Both implants were removed and all granulomatous tissues were thoroughly debrided. Histopathological examination revealed signs of acute ulcerative inflammatory reaction and Actinomyces colonies. The patient was prescribed short-term oral penicillins. Six months after explantation, the deficient bone was augmented using a combination of absorbable collagen membrane, autogenous block bone, and xenograft. The patient was followed for 1 year; and subsequently, 2 implants were re-inserted at the same positions. The patient was followed and no recurrences were observed. Implant failure due to actinomycosis is an extremely rare condition, and a definitive diagnosis is therefore essential for successful treatment.