Apicectomía o implante: Reporte de un caso clínico.
Abstract
Se reporta un caso clínico de un paciente al que se le realizó apicectomía en un premolar superior, presumiblemente por una endodoncia realizada en forma inadecuada y tener un perno colado donde la extracción del mismo correría el riesgo de la fractura dentaria. Fracasado dicho tratamiento se realiza un implante inmediato a la exodoncia, donde se colocó relleno óseo autólogo y xenoinjerto con membrana de colágeno reabsorbible. De esto se deduce que la faz diagnóstica es muy importante. Después de 4 meses se realiza la carga funcional del implante con una corona cerámica cementada. Uno de los factores que influyeron en los resultados positivos de este caso, es la superficie ultramicrotexturada del implante que se usó, además de ser considerados estadísticamente los premolares de tener la tabla ósea vestibular de mayor espesor que el sector anterior.
References
Gómez de Ferraris ME, Campos Muñoz A. Periodoncio de inserción: Cemento, Ligamento Periodontal, y Hueso Alveolar. En Histología y Embriología Bucodental. Ed Medica Panamericana. Madrid 2002.
Esposito M, Grusovin MG, Coulthard P, Worthington HV. The efficacy of various bone augmentation procedures for dental implants: a Cochrane systematic review of randomized controlled clinical trials. Int J Oral Maxillofac Implants 2006; 21; 696-710.
Donos N, Mardas N, Chadha V. Clinical outcomes of implants following lateral bone augmentation: systematic assessment of available options (barrier membranes, bone grafts, split osteotomy). J Clin Periodontol 2008; 35 (suppl 8): 173-202.
Jensen SS, Terheyden H. Bone augmentation procedures in localized defects in the alveolar ridge: clinical results with diferent bone grafts and bone sustitute materials. Int J Oral Maxillofac Implants 2009; 24: 218-236.
Gomez-Carillo V, Giner Diaz J, Maniegas Lozano L, Gaite Ballesta JJ, Castro Bustamante A, Ruiz Cruz J, Montesdeoca Garcia N. Apicectomia quirurgica: propuesta de un protocolo basado en la evidencia. Rev Esp Cir Oral Maxilofac 2011; 33(2): 61-66.
Gay-Escoda C, Penarrocha M, Berini L. Lesions Periapicales. En: Gay Escoda C, Berini Aytes L. Cirugia Bucal. Madrid: Ergon, 1999; pp.749-80
Kantor ML. Dental digital radiography: more tan a fad, less tan a revolution. J Am Dent Assoc. 2005; 136: 1358-1360.
Buitrago Vera, PJ, Sicilia Felechosa, A, Enrile de Rojas FJ, Tejerina Lobo JM, Fuertes Gutierrez L. Como mejorar la precisión en la colocación de implantes. El uso de la guía quirúrgica de contorno. ROE 1996; 56(4): 11-20.
Vanden Bogaerde L, Rangert B, Wendelhag I. Immediately function of Branemark System TiUnite implants in fresh extraction sockets in maxillae and posterior mandibles:an 18-month prospective clinical study. Clin Implant Dent Relat Res 2005; 7: S121-130.
Polizzi G, Grunder U, Goene R, Henry P, Jackson WJ, Kawamura K, Renouard F, Rosenberg R, Tripplett G, Werbitt M, Lithner B. Immediate and delayed implant placement into extraction sockets: a 5-year report. Clin Implant Dent Relat Res 2000; 2(2): 93-99.
Testori T, Bianchi F, Del Fabbro M, Caelli M, Zuffetti F, Berluchi I, Taschieri S, Francetti L, Weinstein RL. Implant aesthetic score for evaluating the outcome: immediate loading in the aesthetic zone. Pract Proced Aesthet Dent 2005; 17(2): 123-130.
Wagenberg B, Froum SJ. A retrospective study of 1925 consecutively placed immediate implants from 1988 to 2004. Int J Oral MaxillofacImplants 2006; 21(1): 71-80.
Zeren KJ. Minimally invasive extraction and immediate implant placement: the preservation of esthetics. Int J Periodont Restor Dent 2006; 26(2): 171-181.
Covani U, Barone A, Cornelini R, Crespi R. Soft tisue healing around implants placed immediately after tooth extraction without incisión: a clinical report. Int J Oral Maxillofac Implants 2004; 19(4): 549-553.
Botticelli D, Berglundh T, Lindhe J. Hard-tissue alterations following immediate implant placement in extraction sites. J Clin Periodontol 2004; 31(10): 820-828.
Araujo MG, Sukekava F, Wennstrom JL, Lindhe J. Ridge alterations following implant placement in fresh extraction sockets: an experimental study in the dog. J Clin Periodontol 2005; 32(6): 645-652.
Bodereau EF, De Leonardi G. Ausencia de un único elemento natural no setor anterior, com reborde osseo suficiente. Face cirurgica.. In.Todescan FF, Bechelli A, Romanelli H, editors. Implantodontia contemporanea. Sao Pablo; Artes Medicas, 2005. pp. 67-102.
Skalak R. A brief essay on the on the philosophy of a one-step versus a twostep procedure for oseointegrated fixturesupported dentalprotheses. In : Branemark PL editor The Branemark Novum Protocol for Same Day Teeth – a global perspective - Chicago: Quintessence Books, 2001. pp.16-20.
Gottlow J, Nyman S, Karring T, Lindhe J. New attachment formation as the result of controlled tissue regeneration. J Clin Periodontol 1984; 11: 494-503.
Buser D, Duka K, Hirt HP, Berthold H. Localized ridge augmentation using guided bone regeneration. In Buser D, Dahlin C, Schenk RK,eds. Guided Bone regeneration in implant dentistry. Berlin. Quintessence, 1994;pp 189-223.
Gottlow J, Nyman S, Lindhe J, Karring T, Wennstron J. New attachment formation in the human periodontium 26 Gottlow by guided tissue regeneration. J Clin Periodontol 1986; 13: 604-616.
Sculean A, Nikolidakis D, Schwarz F. Regeneration of periodontal tissues:combination and preclinical evidence. J Clin Periodontol 2008; 35(suppl 8): 106-116.
Tinti, C. & Parma Benefati S. Vertical ridge augmentation: surgical protocol and retrospective evaluation of 48 consecutively inserted implants. Int J Periodont Restor Dent 1998; 18: 435-443.
Buser D, Dula, K, Hirt H, Schenk R. Lateral ridge augmentation using autografts and barrier membranes. A clinical study in 40 partially edentulous patients. J Oral Maxillofac Surg 1996; 54: 420-432.
Jung R, Lecloux G, Rompen E , Ramel C, Buser D, Hammerle CH.A feasibility study evaluating an in situ formed synthetic biodegradable membrane for guided bone regeneration in dogs. Clin Oral Implants Res 2009; 20(2): 151-161.
Palti A, Hoch T. A concept for the treatment of varius dental bone defects. Implant Dent 2002; 11: 73-78.
Baumgartner JC, Falkler WA. Bacteria in the apical 5 mm of infected root canals. J Endod 1991; 17: 380-383.
Wayman BE, Murata SM, Almeida RJ, Fowler CB. A bacteriological and histological evaluation of 58 periapical lesions. J Endod 1992; 18: 152-155.
Souza RA. The importance of apical patency and cleaning of the apical foramen on root canal preparation. Braz Dent J 2006; 17: 6-9.
Nevins, M, Nevins ML, Camelo M, Boyesen DM Kim. Human histologic evidence of a connective tissue attachment to a dental implant. Int J Periodont Restor Dent 2008; 28(2): 111-121.
Pecora GE, Ceccarelli R, Bonelli M, Alexander H, Ricci JL. Clinical Evaluation of Laser microtexturing for soft tissue and bone attachment to dental implants. Implant Dent 2009; 18(1): 57-66.
Novaes AB Jr, Papalexiou V, Grisi MFM, Souza SSLS, Tabba M Jr, Kajiwara JK. Influence of implant microstructure on the osseointegrationof immediate implants placed into periodontally infected sites. A histomorphometric study in dogs. Clin Oral Implants Res 2004; 15: 34-43.
Myiamoto J, Obama T. Dental Cone Beam Computed Tomography Analyses of Postoperative Labial Bone Thickness in Maxilary Anterior Implants: Comparing Inmediate and Delayed Implant Placement. Int J Periodontol Rest Den 2011; 31(3): 215-225.
Chen ST, Buser D. Clinical and esthetic outcomes of implants placed in postextraccion sites. Int J Oral Maxillofac Implants 2009; 24: 186-217.
Dahlin C, Linde A, Gottlow J, Nyman S. Healingof bone defects by guided tissue regeneration. Plast Reconstruct Surg 1988; 81: 672-676.
Dahlin C, Sennerby L, Lekholm U. Generation of new bone around titanium implant using a membrane technique, an experimental study in rabbits. Int J Oral Maxillofacial Implants 1989; 4: 19-25.
Kostopoulus L, Karring T. Guided bone regeneration in mandibular defects in rats, using a biorebsorbable polymer. Clinl Oral Impl Res 1994; 5: 66-74.
Araujo M, Wennstron J, Lindhe J. Modeling of the buccal and lingual bonewalls of fresh extraction sites following implant installation. Clin Oral Impl Res 2006; 17: 606-614.
Block M, Degen M. Horizontal ridge augmentation using Human mineralized particulate bone: preliminary results. J Oral Maxillofacial Surg 2004; 62: 67-72.
Araujo M, Sonohara M, Hayacibara R. Lateral ridge augmentation by the use of grafos comprised of autologous bone or a biomaterial. An experiment in the dog. J Clin Periodontol 2002; 29: 1122-1125.
Proussaefs P, Lozada J, Rohrer MD. A clinical and histologic evaluation of a block onlay graft in conjunction with autogenous particulate and inorganic bovine material: a case report. Int J Periodont Restor Dent 2002; 22:567-72
Araujo M, Lindhe J. La influencia del colágeno Bio-Oss en la cicatrización del alveolo post-extraccion: estudio experimental en perros. Rev Int Odontol Restaur Period 2008; 12: 131-143.
Araujo M, Lindhe J. Ridge preservation with the use of Bio-oss collagen: a 6 month study in dog. Clin Oral Impl Res 2009; 20: 433-440.
Schenk RK, Buser D, Hardwick WR. Healing pattern of bone regeneration in membrane protected defects. A histologic study in canine mandible. Int J of Oral and Maxillofacial Implants 1994; 9: 13-29.
Buser D. Horizontal ridge augmentation using autogenous block grafts and the guided bone regeneration technique with collagen membranes: a clinical study with 42 patients. Clin Oral Implants Res 2006; 17(4): 359-366.
Esposito M, Grusovin MG, Coulthard P, Worthington HV. The efficacy of various bone augmentation procedures for dental implants: a Cochrane systematic review of randomized controlled clinical trials. Int J Oral Maxillofac Implants 2006; 21; 696-710.
Donos N, Mardas N, Chadha V. Clinical outcomes of implants following lateral bone augmentation: systematic assessment of available options (barrier membranes, bone grafts, split osteotomy). J Clin Periodontol 2008; 35 (suppl 8): 173-202.
Jensen SS, Terheyden H. Bone augmentation procedures in localized defects in the alveolar ridge: clinical results with diferent bone grafts and bone sustitute materials. Int J Oral Maxillofac Implants 2009; 24: 218-236.
Gomez-Carillo V, Giner Diaz J, Maniegas Lozano L, Gaite Ballesta JJ, Castro Bustamante A, Ruiz Cruz J, Montesdeoca Garcia N. Apicectomia quirurgica: propuesta de un protocolo basado en la evidencia. Rev Esp Cir Oral Maxilofac 2011; 33(2): 61-66.
Gay-Escoda C, Penarrocha M, Berini L. Lesions Periapicales. En: Gay Escoda C, Berini Aytes L. Cirugia Bucal. Madrid: Ergon, 1999; pp.749-80
Kantor ML. Dental digital radiography: more tan a fad, less tan a revolution. J Am Dent Assoc. 2005; 136: 1358-1360.
Buitrago Vera, PJ, Sicilia Felechosa, A, Enrile de Rojas FJ, Tejerina Lobo JM, Fuertes Gutierrez L. Como mejorar la precisión en la colocación de implantes. El uso de la guía quirúrgica de contorno. ROE 1996; 56(4): 11-20.
Vanden Bogaerde L, Rangert B, Wendelhag I. Immediately function of Branemark System TiUnite implants in fresh extraction sockets in maxillae and posterior mandibles:an 18-month prospective clinical study. Clin Implant Dent Relat Res 2005; 7: S121-130.
Polizzi G, Grunder U, Goene R, Henry P, Jackson WJ, Kawamura K, Renouard F, Rosenberg R, Tripplett G, Werbitt M, Lithner B. Immediate and delayed implant placement into extraction sockets: a 5-year report. Clin Implant Dent Relat Res 2000; 2(2): 93-99.
Testori T, Bianchi F, Del Fabbro M, Caelli M, Zuffetti F, Berluchi I, Taschieri S, Francetti L, Weinstein RL. Implant aesthetic score for evaluating the outcome: immediate loading in the aesthetic zone. Pract Proced Aesthet Dent 2005; 17(2): 123-130.
Wagenberg B, Froum SJ. A retrospective study of 1925 consecutively placed immediate implants from 1988 to 2004. Int J Oral MaxillofacImplants 2006; 21(1): 71-80.
Zeren KJ. Minimally invasive extraction and immediate implant placement: the preservation of esthetics. Int J Periodont Restor Dent 2006; 26(2): 171-181.
Covani U, Barone A, Cornelini R, Crespi R. Soft tisue healing around implants placed immediately after tooth extraction without incisión: a clinical report. Int J Oral Maxillofac Implants 2004; 19(4): 549-553.
Botticelli D, Berglundh T, Lindhe J. Hard-tissue alterations following immediate implant placement in extraction sites. J Clin Periodontol 2004; 31(10): 820-828.
Araujo MG, Sukekava F, Wennstrom JL, Lindhe J. Ridge alterations following implant placement in fresh extraction sockets: an experimental study in the dog. J Clin Periodontol 2005; 32(6): 645-652.
Bodereau EF, De Leonardi G. Ausencia de un único elemento natural no setor anterior, com reborde osseo suficiente. Face cirurgica.. In.Todescan FF, Bechelli A, Romanelli H, editors. Implantodontia contemporanea. Sao Pablo; Artes Medicas, 2005. pp. 67-102.
Skalak R. A brief essay on the on the philosophy of a one-step versus a twostep procedure for oseointegrated fixturesupported dentalprotheses. In : Branemark PL editor The Branemark Novum Protocol for Same Day Teeth – a global perspective - Chicago: Quintessence Books, 2001. pp.16-20.
Gottlow J, Nyman S, Karring T, Lindhe J. New attachment formation as the result of controlled tissue regeneration. J Clin Periodontol 1984; 11: 494-503.
Buser D, Duka K, Hirt HP, Berthold H. Localized ridge augmentation using guided bone regeneration. In Buser D, Dahlin C, Schenk RK,eds. Guided Bone regeneration in implant dentistry. Berlin. Quintessence, 1994;pp 189-223.
Gottlow J, Nyman S, Lindhe J, Karring T, Wennstron J. New attachment formation in the human periodontium 26 Gottlow by guided tissue regeneration. J Clin Periodontol 1986; 13: 604-616.
Sculean A, Nikolidakis D, Schwarz F. Regeneration of periodontal tissues:combination and preclinical evidence. J Clin Periodontol 2008; 35(suppl 8): 106-116.
Tinti, C. & Parma Benefati S. Vertical ridge augmentation: surgical protocol and retrospective evaluation of 48 consecutively inserted implants. Int J Periodont Restor Dent 1998; 18: 435-443.
Buser D, Dula, K, Hirt H, Schenk R. Lateral ridge augmentation using autografts and barrier membranes. A clinical study in 40 partially edentulous patients. J Oral Maxillofac Surg 1996; 54: 420-432.
Jung R, Lecloux G, Rompen E , Ramel C, Buser D, Hammerle CH.A feasibility study evaluating an in situ formed synthetic biodegradable membrane for guided bone regeneration in dogs. Clin Oral Implants Res 2009; 20(2): 151-161.
Palti A, Hoch T. A concept for the treatment of varius dental bone defects. Implant Dent 2002; 11: 73-78.
Baumgartner JC, Falkler WA. Bacteria in the apical 5 mm of infected root canals. J Endod 1991; 17: 380-383.
Wayman BE, Murata SM, Almeida RJ, Fowler CB. A bacteriological and histological evaluation of 58 periapical lesions. J Endod 1992; 18: 152-155.
Souza RA. The importance of apical patency and cleaning of the apical foramen on root canal preparation. Braz Dent J 2006; 17: 6-9.
Nevins, M, Nevins ML, Camelo M, Boyesen DM Kim. Human histologic evidence of a connective tissue attachment to a dental implant. Int J Periodont Restor Dent 2008; 28(2): 111-121.
Pecora GE, Ceccarelli R, Bonelli M, Alexander H, Ricci JL. Clinical Evaluation of Laser microtexturing for soft tissue and bone attachment to dental implants. Implant Dent 2009; 18(1): 57-66.
Novaes AB Jr, Papalexiou V, Grisi MFM, Souza SSLS, Tabba M Jr, Kajiwara JK. Influence of implant microstructure on the osseointegrationof immediate implants placed into periodontally infected sites. A histomorphometric study in dogs. Clin Oral Implants Res 2004; 15: 34-43.
Myiamoto J, Obama T. Dental Cone Beam Computed Tomography Analyses of Postoperative Labial Bone Thickness in Maxilary Anterior Implants: Comparing Inmediate and Delayed Implant Placement. Int J Periodontol Rest Den 2011; 31(3): 215-225.
Chen ST, Buser D. Clinical and esthetic outcomes of implants placed in postextraccion sites. Int J Oral Maxillofac Implants 2009; 24: 186-217.
Dahlin C, Linde A, Gottlow J, Nyman S. Healingof bone defects by guided tissue regeneration. Plast Reconstruct Surg 1988; 81: 672-676.
Dahlin C, Sennerby L, Lekholm U. Generation of new bone around titanium implant using a membrane technique, an experimental study in rabbits. Int J Oral Maxillofacial Implants 1989; 4: 19-25.
Kostopoulus L, Karring T. Guided bone regeneration in mandibular defects in rats, using a biorebsorbable polymer. Clinl Oral Impl Res 1994; 5: 66-74.
Araujo M, Wennstron J, Lindhe J. Modeling of the buccal and lingual bonewalls of fresh extraction sites following implant installation. Clin Oral Impl Res 2006; 17: 606-614.
Block M, Degen M. Horizontal ridge augmentation using Human mineralized particulate bone: preliminary results. J Oral Maxillofacial Surg 2004; 62: 67-72.
Araujo M, Sonohara M, Hayacibara R. Lateral ridge augmentation by the use of grafos comprised of autologous bone or a biomaterial. An experiment in the dog. J Clin Periodontol 2002; 29: 1122-1125.
Proussaefs P, Lozada J, Rohrer MD. A clinical and histologic evaluation of a block onlay graft in conjunction with autogenous particulate and inorganic bovine material: a case report. Int J Periodont Restor Dent 2002; 22:567-72
Araujo M, Lindhe J. La influencia del colágeno Bio-Oss en la cicatrización del alveolo post-extraccion: estudio experimental en perros. Rev Int Odontol Restaur Period 2008; 12: 131-143.
Araujo M, Lindhe J. Ridge preservation with the use of Bio-oss collagen: a 6 month study in dog. Clin Oral Impl Res 2009; 20: 433-440.
Schenk RK, Buser D, Hardwick WR. Healing pattern of bone regeneration in membrane protected defects. A histologic study in canine mandible. Int J of Oral and Maxillofacial Implants 1994; 9: 13-29.
Buser D. Horizontal ridge augmentation using autogenous block grafts and the guided bone regeneration technique with collagen membranes: a clinical study with 42 patients. Clin Oral Implants Res 2006; 17(4): 359-366.
Published
2012-07-22
How to Cite
FERNÁNDEZ-BODEREAU, Enrique; TORTOLINI, Patricia.
Apicectomía o implante: Reporte de un caso clínico..
Journal of Oral Research, [S.l.], v. 1, n. 1, p. 27-34, july 2012.
ISSN 0719-2479.
Available at: <https://www.joralres.com/index.php/JOralRes/article/view/joralres.2012.007>. Date accessed: 03 may 2024.
doi: https://doi.org/10.17126/joralres.2012.007.
Issue
Section
Cases
This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. © 2024.
