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Attachment of Residual Root onto Dental Implant: A Case Report with Literature Review

International Journal of Clinical Preventive Dentistry 2019³â 15±Ç 4È£ p.226 ~ 230
Im Jae-Hyung, È«±â¼®,
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 ( Im Jae-Hyung ) - Moon Dental Hospital Department of Oral & Maxillofacial Surgery
È«±â¼® ( Hong Ki-Seok ) - Moon Dental Hospital Department of Periodontics

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.

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dental implant; attachment; cementum; implantitis

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