open access
메뉴
open access
메뉴
ISSN : 0376-4672
Globally, as dental implant treatment for edentulous areas increases, implant complications are also increas ing. The adverse prognosis of implants arises from esthetic, biological, and mechanical complications. Several methods reported to manage and resolve these complications are often insufficient to improve the pathological condition or satisfy patient satisfaction. In this case, implant removal should be considered. The traditional implant removal method based on the tooth extraction method has been widely used, but now, a minimally invasive surgical method based on 'reverse-torque' has been introduced. With this new method, soft and hard tissue around the implant can be preserved. In several literatures, it has been reported that the survival rate of implants repositioned in the failed site is high. Despite these results, dentists must carefully consider whether implant repositioning can meet the functional, biomechanical, and aesthetic needs of the patient before making a decision. When considering reimplantation, surrounding soft and hard tissue grafting should be considered, and it is important to understand the type of alveolar bone defect. However, if knowledge about the biological phenomena and volume changes occurring at the implant removal site is insufficient, the dentist's decision pro cess of treatment plan becomes complicated and difficult. Also, in most cases, the treatment plan is determined simply by relying only on the clinical experience of the dentist. This review aims to provide information on dentists' treatment planning decisions for failed implants. In addition to this, we would like to emphasize the importance of understanding the physiology of alveolar bone along with various considerations for implant removal methods and reimplantation.
1. Sailer I, Strasding M, Valente NA, Zwahlen M, Liu S, Pjetursson BE. A systematic review of the survival and complication rates of zirconia‐ceramic and metal‐ceramic multiple‐unit fixed dental prostheses. Clinical oral implants research 2018;29:184-198.
2. Pjetursson BE, Thoma D, Jung R, Zwahlen M, Zembic A. A systematic review of the survival and complication rates of implant‐supported fixed dental prostheses (FDP s) after a mean observation period of at least 5 years. Clinical oral implants research 2012;23:22-38.
3. Jung RE, Zembic A, Pjetursson BE, Zwahlen M, Thoma DS. Systematic review of the survival rate and the incidence of biological, technical, and aesthetic complications of single crowns on implants reported in longitudinal studies with a mean follow-up of 5 years. Clinical oral implants research 2012;23:2-21.
4. Schwarz F, Derks J, Monje A, Wang HL. Peri-implantitis. J Periodontol 2018;89 Suppl 1:S267-s290.
5. Derks J, Schaller D, Hakansson J, Wennstrom JL, Tomasi C, Berglundh T. Peri‐implantitis–onset and pattern of progression. Journal of clinical periodontology 2016;43:383-388.
6. Gargallo‐Albiol J, Tavelli L, Barootchi S, Monje A, Wang HL. Clinical sequelae and patients’ perception of dental implant removal:A cross‐sectional study. Journal of Periodontology 2021;92:823-832.
7. Wittneben JG, Wismeijer D, Bragger U, Joda T, Abou‐Ayash S. Patient‐reported outcome measures focusing on aesthetics of implant‐and tooth‐supported fixed dental prostheses: A systematic review and meta‐analysis. Clinical oral implants research 2018;29:224-240.
8. Steigmann M, Monje A, Chan H-L, Wang H-L. Emergence profile design based on implant position in the esthetic zone. International Journal of Periodontics & Restorative Dentistry 2014;34.
9. Berglundh T, Lindhe J. Dimension of the periimplant mucosa: biological width revisited. Journal of clinical periodontology 1996;23:971-973.
10. Monje A, Galindo-Moreno P, Tozurm TF, Suarez-Lopez del Amo F, Wang H-L. Into the paradigm of local factors as contributors for peri-implant disease. International Journal of Oral & Maxillofacial Implants 2016;31.
11. Spray JR, Black CG, Morris HF, Ochi S. The influence of bone thickness on facial marginal bone response: stage 1 placement through stage 2 uncovering. Annals of periodontology 2000;5:119-128.
12. Roush J, Howard P, Wilson J. Normal blood supply to the canine mandible and mandibular teeth. American journal of veterinary research 1989;50:904-907.
13. Roux S, Orcel P. Bone loss: Factors that regulate osteoclast differentiation-an update. Arthritis Research & Therapy 2000;2:1-6.
14. Barone A, Alfonsi F, Derchi G, et al. The effect of insertion torque on the clinical outcome of single implants: a randomized clinical trial. Clinical Implant Dentistry and Related Research 2016;18:588-600.
15. Covani U, Bortolaia C, Barone A, Sbordone L. Bucco‐lingual crestal bone changes after immediate and delayed implant placement. Journal of Periodontology 2004;75:1605-1612.
16. Temmerman A, Keestra JA, Coucke W, Teughels W, Quirynen M. The outcome of oral implants placed in bone with limited bucco‐oral dimensions: A 3‐year follow‐up study. Journal of Clinical Periodontology 2015;42:311-318.
17. Monje A, Insua A, Monje F, et al. Diagnostic accuracy of the implant stability quotient in monitoring progressive peri‐implant bone loss: An experimental study in dogs. Clinical oral implants research 2018;29:1016-1024.
18. Su H, Gonzalez-Martin O, Weisgold A, Lee E. Considerations of implant abutment and crown contour: critical contour and subcritical contour. International Journal of Periodontics & Restorative Dentistry 2010;30.
19. Koticha T, Fu JH, Chan HL, Wang HL. Influence of thread design on implant positioning in immediate implant placement. Journal of periodontology 2012;83:1420-1424.
20. Cosyn J, Eghbali A, Hermans A, Vervaeke S, De Bruyn H, Cleymaet R. A 5‐year prospective study on single immediate implants in the aesthetic zone. Journal of clinical periodontology 2016;43:702-709.
21. BUSER DM, William; BELSER, Urs C. Optimizing esthetics for implant restorations in the anterior maxilla: anatomic and surgical considerations. International Journal of Oral & Maxillofacial Implants 2004;19.
22. Lee D-H. Consideration on the esthetic problems from implant cases. Journal of the Korean Academy of Esthetic Dentistry 2015;23:39-48.
23. Monje A, Nart J. Management and sequelae of dental implant removal. Periodontology 2000 2022;88:182-200.
24. IEZZI G, et al. Periimplant bone response in human-retrieved, clinically stable, successful, and functioning dental implants after a longterm loading period: a report of 17 cases from 4 to 20 years. Implant Dentistry 2016;25:380-386.
25. Rakic M, Galindo-Moreno P, Monje A, et al. How frequent does peri-implantitis occur? A systematic review and meta-analysis. Clinical oral investigations 2018;22:1805-1816.
26. Chan HL, Lin GH, Suarez F, MacEachern M, Wang HL. Surgical management of peri‐implantitis: A systematic review and meta‐analysis of treatment outcomes. Journal of periodontology 2014;85:1027-1041.
27. Tomasi C, Regidor E, Ortiz-Vigon A, Derks J. Efficacy of reconstructive surgical therapy at peri-implantitis-rela ted bone defects. A systematic review and meta-analysis. Journal of clinical periodontology 2019;46:340-356.
28. Monje A, Pons R, Insua A, Nart J, Wang HL, Schwarz F. Morphology and severity of peri‐implantitis bone defects. Clinical Implant Dentistry and Related Research 2019;21:635-643.
29. Monje A, Alcoforado G, Padial‐Molina M, Suarez F, Lin GH, Wang HL. Generalized aggressive periodontitis as a risk factor for dental implant failure: A systematic review and meta‐analysis. Journal of periodontology 2014;85:1398-1407.
30. de Waal YC, Raghoebar GM, Meijer HJ, Winkel EG, van WinkelhoffAJ. Prognostic indicators for surgical peri‐implantitis treatment. Clinical oral implants research 2016;27:1485-1491.
31. Ravida A, Siqueira R, Saleh I, Saleh M, Giannobile A, Wang H. Lack of clinical benefit of implantoplasty to improve implant survival rate. Journal of Dental Research 2020;99:1348-1355.
32. Levin L, Zigdon H, Coelho PG, Suzuki M, Machtei EE. Reimplantation of dental implants following ligature‐induced peri‐implantitis: a pilot study in dogs. Clinical implant dentistry and related research 2013;15:1-6.
33. Anitua E, Pinas L, Begona L, Alkhraisat MH. Prognosis of Dental Implants Immediately Placed in Sockets Affected by Peri-implantitis:A Retrospective Pilot Study. International Journal of Periodontics & Restorative Dentistry 2017;37.
34. Pons R, Carreno M, Amerio E, Gargallo‐Albiol J, Nart J, Monje A. Hard tissue dimensional changes following implant removal due to peri‐implantitis: A retrospective study. Clinical Implant Dentistry and Related Research 2021;23:432-443.
35. Chrcanovic BR, Martins MD, Wennerberg A. Immediate placement of implants into infected sites: a systematic review. Clinical implant dentistry and related research 2015;17:e1-e16.
36. Renvert S, Persson GR, Pirih FQ, Camargo PM. Peri‐implant health, peri‐implant mucositis, and peri‐implantitis:Case definitions and diagnostic considerations. Journal of clinical periodontology 2018;45:S278-S285.
37. Monje A, Blasi G. Significance of keratinized mucosa/gingiva on peri‐implant and adjacent periodontal conditions in erratic maintenance compliers. Journal of periodontology 2019;90:445-453.
38. Ueno D, Nagano T, Watanabe T, Shirakawa S, Yashima A, Gomi K. Effect of the keratinized mucosa width on the health status of periimplant and contralateral periodontal tissues: a cross-sectional study. Implant dentistry 2016;25:796-801.
39. Perussolo J, Souza AB, Matarazzo F, Oliveira RP, Araujo MG. Influence of the keratinized mucosa on the stability of peri‐implant tissues and brushing discomfort: a 4‐year follow‐up study. Clinical Oral Implants Research 2018;29:1177-1185.
40. Berglundh T, Persson L, Klinge B. A systematic review of the incidence of biological and technical complications in implant dentistry reported in prospective longitudinal studies of at least 5 years. Journal of clinical periodontology 2002;29:197-212.
41. Pommer B, Hingsammer L, Haas R, et al. Denture-Related Biomechanical Factors for Fixed Partial Dentures Retained on Short Dental Implants. International Journal of Prosthodontics 2015;28.
42. Rangert B, Krogh PH, Langer B, Van Roekel N. Bending overload and implant fracture: a retrospective clinical analysis. International journal of oral & maxillofacial implants 1995;10.
43. Shemtov‐Yona K, Rittel D, Machtei EE, Levin L. E ffect of D ental I mplant D iameter on F atigue P erformance. P art II: F ailure A nalysis. Clinical implant dentistry and related research 2014;16:178-184.
44. Chrcanovic BR, Kisch J, Albrektsson T, Wennerberg A. Factors influencing the fracture of dental implants. Clinical implant dentistry and related research 2018;20:58-67.
45. Anitua E, Murias-Freijo A, Pinas L, Tejero R, Prado R, Orive G. Nontraumatic implant explantation: a biomechanical and biological analysis in sheep tibia. Journal of Oarl Implantology 2016;42:3-11.
46. Anitua E, Murias-Freijo A, Alkhraisat MH. Conservative implant removal for the analysis of the cause, removal torque, and surface treatment of failed nonmobile dental implants. Journal of Oral Implantology 2016;42:69-77.
47. Anitua E, Orive G. A new approach for atraumatic implant explantation and immediate implant installation. Oral surgery, oral medicine, oral pathology and oral radiology 2012;113:e19-e25.
48. Marini E, Cisterna V, Messina AM. The removal of a malpositioned implant in the anterior mandible using piezosurgery. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology 2013;115:e1-e5.
49. Smith L, Rose T. Laser explantation of a failing endosseous dental implant. Australian dental journal 2010;55:219-222.
50. Araujo MG, Lindhe J. Ridge alterations following tooth extraction with and without flap elevation: an experimental study in the dog. Clinical oral implants research 2009;20:545-549.
51. Araujo MG, Lindhe J. Dimensional ridge alterations following tooth extraction. An experimental study in the dog. Journal of clinical periodontology 2005;32:212-218.
52. Chappuis V, Engel O, Shahim K, Reyes M, Katsaros C, Buser D. Soft tissue alterations in esthetic postextraction sites: a 3-dimensional analysis. Journal of dental research 2015;94:187S-193S.
53. Chappuis V, Engel O, Reyes M, Shahim K, Nolte L-P, Buser D. Ridge alterations post-extraction in the esthetic zone: a 3D analysis with CBCT. Journal of dental research 2013;92:195S-201S.
54. Chappuis V, Araujo MG, Buser D. Clinical relevance of dimensional bone and soft tissue alterations post‐extraction in esthetic sites. Periodontology 2000 2017;73:73-83.
55. Zhou W, Wang F, Monje A, Elnayef B, Huang W, Wu Y. Feasibility of Dental Implant Replacement in Failed Sites: A Systematic Review. International Journal of Oral & Maxillofacial Implants 2016;31.