Fig. 6. a Panoramic X-ray image 1 year after the surgery. b Intraoral photo 1 year after the surgery
Fig. 6. a Panoramic X-ray image 1 year after the surgery. b Intraoral photo 1 year after the surgery
Fig. 5. Histopathologic photo of the resected mandible (H-E staining)
Fig. 5. Histopathologic photo of the resected mandible (H-E staining)
gmentally resected. b Intraoperative photo. A vascularized fibula bone graft. c Resected mandible. d Panoramic X-ray image after the surgery
Fig. 4. a Intraoperative photo. The affected left mandible was segmentally resected. b Intraoperative photo. A vascularized fibula bone graft. c Resected mandible. d Panoramic X-ray image after the surgery
Fig. 3. CT images of the left mandible. a Axial view at the left first molar. b Coronal view at the left first molar
Fig. 3. CT images of the left mandible. a Axial view at the left first molar. b Coronal view at the left first molar
Fig. 2. Panoramic X-ray image at the first visit
Fig. 2. Panoramic X-ray image at the first visit
Fig. 1. Intraoral photo at the first visit
Fig. 1. Intraoral photo at the first visit
Teramoto, Y., Kurita, H., Kamata, T. et al. A case of peri-implantitis and osteoradionecrosis arising around dental implants placed before radiation therapy.
Int J Implant Dent 2, 11 (2016). https://doi.org/10.1186/s40729-016-0039-1
Download citation
Received: 01 August 2015
Accepted: 21 March 2016
Published: 05 April 2016
DOI: https://doi.org/10.1186/s40729-016-0039-1
Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were...
Yuji Teramoto, Hiroshi Kurita, Takahiro Kamata, Hitoshi Aizawa, Nobuhiko Yoshimura, Humihiro Nishimaki, Kazunobu Takamizawa declare that they have no competing interests.
All authors read and approved the final manuscript.
Department of Dentistry and Oral Surgery, Shinshu University School of Medicine, 3-1-1, Asahi, Matsumoto, 390-8621, Japan
Yuji Teramoto, Hiroshi Kurita, Takahiro Kamata, Hitoshi Aizawa, Nobuhiko Yoshimura, Humihiro Nishimaki & Kazunobu Takamizawa
You can also search for this author in
PubMed Google Scholar
You can also search for this author in
...
O'Dell K, Sinha U. Osteoradionecrosis. Oral Maxillofac Surg Clin North Am. 2011;23(3):455–64.
Madrid C, Abarca M, Bouferrache K. Osteoradionecrosis: an update. Oral Oncol. 2010;46(6):471–4.
Jacobson AS, Buchbinder D, Hu K, Urken ML. Paradigm shifts in the management of osteoradionecrosis of the mandible. Oral Oncol. 2010;46(11):795–801.
Ozen J, Dirican B, Oysul K, Beyzadeoglu M, Ucok O, B...
Written informed consent was obtained from the patient for the publication of this report and any accompanying images.
Dental implants have become increasingly popular, and a considerable number of people have undergone dental restorations using dental implants. Therefore, there will be an increasing probability of patients with dental implants receiving irradiation around their implants. Further studies are required to analyze whether dental implants located in the radiation field cause adverse effects in the lon...
Secondarily, infection associated with dental implant may become a possible cause of ORN. In radiotherapy including the oral cavity, gingivitis is frequently observed adjacent to fixed metal dental restorations because they cause significant dose enhancement around them [12]. It is easy to speculate that the same occurs around dental implant prostheses (peri-implant mucositis). The presence of muc...
In this paper, we reported a case of ORN arising around dental implants placed before radiotherapy. This is the third such case report to be published. Granström et al. reported three cases of ORN developing around dental implants previously placed for skin-penetrating prosthesis [8]. Slama et al. reported a case of mandibular ORN in post-implant radiation [9]. In these cases, the presence of den...
A 66-year-old man was referred to our hospital for further treatment of ORN of the mandible. He had undergone dental implant treatments on both sides of the mandible (#35, #36, #45, and #47) 7 years previously. All of the implants were osseointegrated and charged. The patient had been followed up regularly by his dentist, and the clinical course had remained uneventful. He experienced left oropha...
Osteoradionecrosis (ORN) of the mandible is a severe complication that follows ionizing radiation therapy in patients undergoing treatment for head and neck cancer. The radiation dose, tumor location, dental trauma, premorbid state of dentition, and concomitant chemoradiotherapy are thought to be contributing factors for ORN [1–3]. Most patients with head and neck cancer are aged 50 years or mo...
A little is known about the effect of radiotherapy on the dental implants that have previously been osseointegrated and charged. Here, we reported a case of osteoradionecrosis which arose around dental implants placed before radiation therapy.