Thermally induced bone necrosis during implant surgery: 3 case reports.
10.5125/jkaoms.2011.37.5.406
- Author:
Kyu Hong JO
1
;
Kyh Ho YOON
;
Kwan Soo PARK
;
Jung Ho BAE
;
Kyung Ha YOU
;
Ji Hoon HAN
;
Jae Myung SHIN
;
Jee Seon BAIK
;
In Seong JEON
;
Jeong Kwon CHEONG
Author Information
1. Department of Oral and Maxillofacial Surgery, Sanggye Paik Hospital, College of Medicine, Inje University, Seoul, Korea. Dentpd@paik.ac.kr
- Publication Type:Case Report
- Keywords:
Osteonecrosis;
Heat stress;
Dental implants
- MeSH:
Collagen;
Debridement;
Dental Implants;
Friction;
Granulation Tissue;
Hot Temperature;
Mandible;
Mandrillus;
Membranes;
Necrosis;
Osteonecrosis;
Reoperation
- From:Journal of the Korean Association of Oral and Maxillofacial Surgeons
2011;37(5):406-414
- CountryRepublic of Korea
- Language:English
-
Abstract:
Thermally induced bone necrosis during implant surgery is a rare phenomenon and a potential contributing factor to implant failure. The frictional heat generated at the time of surgery causes a certain degree of necrosis of the surrounding differentiated and undifferentiated cells. The bone necrosis occurred in the mandible in all three cases, leading to a soft tissue lesion and pain. In each case, radiolucent areas appeared in the middle and apical portions of the implant 4 weeks after surgery. Thermally induced bone necrosis did not improve following systemic antibiotic medication, necessitating surgical treatment. The nonintegrated implants were removed, and meticulous debridement of dead bone and granulation tissue was performed. Then, new implants were implanted along with the placement of autogenous and xenogenic bone covered with a collagen membrane. No further complications occurred after re-operation. The radiolucencies around the new implants gradually resolved entirely, and the soft tissue lesions healed successfully. At 4-5 months after reoperation, implant loading was initiated and the implant-supported restorations have been functioning. The aim of this case report is to present the successful clinical treatment of three cases suspected to be caused by thermally induced bone necrosis after implant drilling.
