与牙种植体相关的化脓性肉芽肿：临床和组织病理学发现
Pyogenic granuloma in relation to dental implants: Clinical and histopathological findings.
作者信息
Anitua Eduardo, Pinas Laura
机构信息
Private practice in implantology and oral rehabilitation in Vitoria, Spain.
Eduardo Anitua Foundation, Vitoria, Spain.
出版信息
J Clin Exp Dent. 2015 Oct 1;7(4):e447-50. doi: 10.4317/jced.52094. eCollection 2015 Oct.
BACKGROUND
The occurrence of pyogenic granuloma in association to dental implants is rare and only five cases have been reported in the literature.
MATERIAL AND METHODS
Patients charts were analyzed to select patients who had been diagnosed for pyogenic granuloma and its association with dental implants had been evaluated. The clinical status of the dental implants and the prosthesis had also been assessed.
RESULTS
Clinical and histopathological diagnosis of pyogenic granuloma had been reached for soft mass growth in association with dental implants in 10 patients. Histological analysis of all samples was performed to obtain a firm diagnosis of finding against pyogenic granuloma lesions. Accumulation of dental plaque due to poor oral hygiene and improper design of the prosthesis had been related to the occurrence of pyogenic granuoloma. This lesion showed no predilection to specific surface type and had no significant association with marginal bone loss.
CONCLUSIONS
Pyogenic granuloma should be included in the differential diagnosis of soft mass growth around dental implants.
KEY WORDS
Reactive lesion, soft mass, pyogenic granuloma, dental implant, titanium.
背景
化脓性肉芽肿与牙种植体相关的情况罕见，文献中仅报道过5例。
材料与方法
分析患者病历，以选择已被诊断为化脓性肉芽肿且评估了其与牙种植体相关性的患者。还评估了牙种植体和修复体的临床状况。
结果
10例患者出现与牙种植体相关的软组织肿块生长，经临床和组织病理学诊断为化脓性肉芽肿。对所有样本进行组织学分析，以明确诊断化脓性肉芽肿病变。口腔卫生差和修复体设计不当导致的牙菌斑堆积与化脓性肉芽肿的发生有关。该病变对特定表面类型无偏好，与边缘骨吸收无显著关联。
结论
化脓性肉芽肿应纳入牙种植体周围软组织肿块生长的鉴别诊断。
关键词
反应性病变；软组织肿块；化脓性肉芽肿；牙种植体；钛
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