Dental Implant Placement in Focal Osteoporotic Bone Marrow Defect: a Case Report and Treatment Recommendations
Background: Focal osteoporotic bone marrow defect is asymptomatic radiolucent area usually discovered incidentally during radiographic examination of the jaws. This bone condition can lead to clinical complications during dental implant placement or during osseointegration process. Methods: A 54-...
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Lithuanian University of Health Sciences, Faculty of Odontology
2022-09-01
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| Series: | eJournal of Oral Maxillofacial Research |
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| Online Access: | https://www.ejomr.org/JOMR/archives/2022/3/e5/v13n3e5ht.htm |
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| _version_ | 1849253740277661696 |
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| author | Gintaras Juodzbalys |
| author_facet | Gintaras Juodzbalys |
| author_sort | Gintaras Juodzbalys |
| collection | DOAJ |
| description | Background: Focal osteoporotic bone marrow defect is asymptomatic radiolucent area usually discovered incidentally during radiographic examination of the jaws. This bone condition can lead to clinical complications during dental implant placement or during osseointegration process.
Methods: A 54-year-old woman was referred to private dental implant centre for a dental implant rehabilitation treatment in May 17, 2016. Oral examination revealed a healthy mucosa with no visible pathology. Adentia of tooth #46 and moderate atrophy of the edentulous alveolar process were found. Panoramic radiography of the jaws showed 2 cm x 2 cm radiolucency with irregular borders located in tooth #46 region. The margins of the bone defect were uneven, single trabeculae were visible, and the cortical layer was not deformed. In the absence of signs of pathology, it was decided to perform a dental implant surgery in the edentulous jaw segment #46.
Results: The osteoporotic focus was filled with natural bovine bone substitute Cerabone®. The granules were gently condensed to the sides - to the buccal and lingual walls until they filled the entire cavity. A 10 mm long, 4.1 mm diameter Straumann® Tissue Level implant was surgically placed with the shoulder of the implant resting on the margins of the osteotomy. It was proposed six steps protocol for surgical dental implant installation in focal osteoporotic bone marrow defect in mandible.
Conclusions: A six-step protocol for surgical placement of dental implants in focal osteoporotic bone marrow defects may be a useful tool for clinicians in implant dentistry. |
| format | Article |
| id | doaj-art-72d3e0dcd1d54e1f95f1f436dbbbd30c |
| institution | Kabale University |
| issn | 2029-283X |
| language | English |
| publishDate | 2022-09-01 |
| publisher | Lithuanian University of Health Sciences, Faculty of Odontology |
| record_format | Article |
| series | eJournal of Oral Maxillofacial Research |
| spelling | doaj-art-72d3e0dcd1d54e1f95f1f436dbbbd30c2025-08-20T03:56:13ZengLithuanian University of Health Sciences, Faculty of OdontologyeJournal of Oral Maxillofacial Research2029-283X2022-09-01133e510.5037/jomr.2022.13305Dental Implant Placement in Focal Osteoporotic Bone Marrow Defect: a Case Report and Treatment RecommendationsGintaras JuodzbalysBackground: Focal osteoporotic bone marrow defect is asymptomatic radiolucent area usually discovered incidentally during radiographic examination of the jaws. This bone condition can lead to clinical complications during dental implant placement or during osseointegration process. Methods: A 54-year-old woman was referred to private dental implant centre for a dental implant rehabilitation treatment in May 17, 2016. Oral examination revealed a healthy mucosa with no visible pathology. Adentia of tooth #46 and moderate atrophy of the edentulous alveolar process were found. Panoramic radiography of the jaws showed 2 cm x 2 cm radiolucency with irregular borders located in tooth #46 region. The margins of the bone defect were uneven, single trabeculae were visible, and the cortical layer was not deformed. In the absence of signs of pathology, it was decided to perform a dental implant surgery in the edentulous jaw segment #46. Results: The osteoporotic focus was filled with natural bovine bone substitute Cerabone®. The granules were gently condensed to the sides - to the buccal and lingual walls until they filled the entire cavity. A 10 mm long, 4.1 mm diameter Straumann® Tissue Level implant was surgically placed with the shoulder of the implant resting on the margins of the osteotomy. It was proposed six steps protocol for surgical dental implant installation in focal osteoporotic bone marrow defect in mandible. Conclusions: A six-step protocol for surgical placement of dental implants in focal osteoporotic bone marrow defects may be a useful tool for clinicians in implant dentistry.https://www.ejomr.org/JOMR/archives/2022/3/e5/v13n3e5ht.htmbone marrowbone substitutesdental implantsradiographymandible |
| spellingShingle | Gintaras Juodzbalys Dental Implant Placement in Focal Osteoporotic Bone Marrow Defect: a Case Report and Treatment Recommendations eJournal of Oral Maxillofacial Research bone marrow bone substitutes dental implants radiography mandible |
| title | Dental Implant Placement in Focal Osteoporotic Bone Marrow Defect: a Case Report and Treatment Recommendations |
| title_full | Dental Implant Placement in Focal Osteoporotic Bone Marrow Defect: a Case Report and Treatment Recommendations |
| title_fullStr | Dental Implant Placement in Focal Osteoporotic Bone Marrow Defect: a Case Report and Treatment Recommendations |
| title_full_unstemmed | Dental Implant Placement in Focal Osteoporotic Bone Marrow Defect: a Case Report and Treatment Recommendations |
| title_short | Dental Implant Placement in Focal Osteoporotic Bone Marrow Defect: a Case Report and Treatment Recommendations |
| title_sort | dental implant placement in focal osteoporotic bone marrow defect a case report and treatment recommendations |
| topic | bone marrow bone substitutes dental implants radiography mandible |
| url | https://www.ejomr.org/JOMR/archives/2022/3/e5/v13n3e5ht.htm |
| work_keys_str_mv | AT gintarasjuodzbalys dentalimplantplacementinfocalosteoporoticbonemarrowdefectacasereportandtreatmentrecommendations |