Journal of Oral Implantology December 2013 - (Page 733)

CASE LETTER A Reactive Lesion (Pyogenic Granuloma) Associated With Dental Implant: A Case Report ¨ Osman A. Etoz, DDS, PhD1 Emrah Soylu, DDS1* Kerem Kilic, DDS, PhD2 ¸ ¨ ¨ Omer Gunhan, DDS, PhD3 Huseyin Akcay, DDS, PhD1,4 Alper Alkan, DDS, PhD1 INTRODUCTION D may be covered by a pseudo-membrane due to secondary ulcerations.3 There are only two case reports in the literature that describe PG associated with dental implants. The aim of this paper is to present the case of a patient with PG in association with dental implant, which had been inserted after bone splitting. ental osseointegrated implants are made of titanium, which is a tissuefriendly and osseointegratable material; the implants have been widely used in preprosthetic surgery. Dental plaque, inadequate oral hygiene, traumatic occlusion, and anatomic drawbacks can cause complications associated with dental implants resulting in CASE REPORT peri-implantitis and implant failure.1 However, gingival reactive lesions like Pyogenic granuloma A 55-year-old female patient was referred to our (PG) or peripheral giant cell granuloma (PGCG) are clinic for preprosthetic management of a partially thought of as common lesions in the natural edentulous mandible. After clinical and radiologic dentition while such lesions in association with examination we decided to insert endosteal implants dental implants are uncommon. to the right first molar, premolars and canine regions Pyogenic granuloma is a common, inflammatory of the mandible. Under local anesthesia (Maxicaine, hyperplasia of the oral cavity. Although the term Vem Drugs, Istanbul, Turkey) crestal horizontal and ''pyogenic'' is used, PG is not an infectious lesion.2 vertical releasing incisions were made and a full PG usually occurs as a response to different thickness mucoperiostal flap was elevated. Alveolar stimulating factors such as local trauma or irritation, bone splitting was performed with piezosurgery iatrogenic and hormonal factors.1-2 Because of the along the right mandible due to inadequate buccofemale hormone factor it has very high incidence in lingual width. Implant sockets were prepared by young females, principally in the second decade of implant drills and 4 dental implants (3i Dental life. Clinically, PG presents as a painless, smooth, or Implant System, BIOMET, Inc. Warsaw, IN, USA) were lobulated shape. It is classed as a hemorrhagic inserted manually to the regions of the second lesion because of its vascular structure and its color incisor (26) (3.25 mm 3 13 mm), canine (27) (3.25 mm ranges from pink to dark red. In addition, it bleeds 311.5 mm), first (28) (3.25 mm 3 10 mm), and second very easily when touched. Sometimes its surface (29) (3.25 mm 3 8.5 mm) bicuspids in the right mandible and the osteotomy line was filled with a 1 1 Department of Oral and Maxillofacial Surgery, Erciyes Univer- cc xenograft. (BioOss, Geistlich Pharma AG, Wolhusity, Melikgazi, Kayseri, Turkey. 2 Department Of Prosthetic Dentistry, Erciyes University, Melik- sen, Switzerland).The implants were then sealed with gazi, Kayseri, Turkey. cover screws. Autologous blood was taken (30 cc) 3 Department of Pathology, Gulhane Military Medicine Academy, and then centrifuged at 10 min/3000 rpm to obtain Ankara, Turkey. 4 Department of Oral and Maxillofacial Surgery, Katip Celebi platelet rich fibrin (PRF). PRF membranes were put University, Cigli, ˙zmir, Turkey. ¸ I over the implants and the mucoperiostal flap was * Corresponding author, e-mail: dtemrahsoylu@hotmail.com closed primarily with 3/0 silk suture. After surgery, DOI: 10.1563/AAID-JOI-D-11-00166 Journal of Oral Implantology 733

Table of Contents for the Digital Edition of Journal of Oral Implantology December 2013

Blade-Form Dental Implants: FDA Reclassification as a Class II Dental Implant Device
Effect of Different Storage Media on the Regenerative Potential of Autogenous Bone Grafts: A Histomorphometrical Analysis in Rabbits
Tensile Resistance of Mineralized and Demineralized Rat Bones in Different Regions (Calvarial and Femur)
Microbial Diversity of Peri-Implant Biofilms on Implant Fixed Bar and Telescopic Double Crown Attachments
Evidence-Based Techniques to Assess the Performance of Dental Implants
Influence of Platform and Abutment Angulation on Peri-Implant Bone. A Three- Dimensional Finite Element Stress Analysis
Direct Current Electric Stimulation in Implant Osseointegration: An Experimental Animal Study With Sheep
Prevalence of Sinus Augmentation Associated With Maxillary Posterior Implants
The Bactericidal Effects of an Acidified Sodium Chlorite-Containing Oral Moisturizing Gel: A Pilot Study
Influence of Fine Threads and Platform-Switching on Crestal Bone Stress Around Implant— A Three-Dimensional Finite Element Analysis
An Evaluation of the Resonance Frequency Analysis Device: Examiner Reliability and Repeatability of Readings
Histologic and Histomorphometric Assessment of Implants and Periapical Tissues When Placed in the Sockets of Extracted Teeth, Teeth With Periapical Lesions, and Healed Lesions: A Canine Study
Microbiological Aspects of Human Mandibular Subperiosteal Dental Implants
A Technique for Removal of a Fractured Implant Abutment Screw
Eight-Year Results of Site Retention of Anorganic Bovine Bone and Anorganic Bovine Matrix
A Reactive Lesion (Pyogenic Granuloma) Associated With Dental Implant: A Case Report
Twelve-Year Clinical and Radiological Results of Maxillary and Mandibular Implant- Retained Bar Overdentures Carried out on Oxidized (TiUnite) Replace Select Implants: A Clinical Case
PEEK Dental Implants: A Review of the Literature

Journal of Oral Implantology December 2013