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Stomatologija 2024; 26 (4): 106-10 410 KB

An unusual case report of peri-implant cystic lesion

Loutfi Salti¹, Khaled Al-ouf²

Summary

A new entity called “peri-implant cyst” has recently been described. This lesion is an inflammatory odontogenic cyst on an osseointegrated implant. It arises from inflammatory stimulation and proliferation of the rests of Malassez. Although a relatively rare condition but potentially the cause of implant failure. Peri- implant cystic lesion exhibits the same radiographic and histopathological features as the radicular cyst. The diagnosis rests on the histology, radiology, and on their correlation with clinical features, in particular the location of the lesion. Herein, we report a case of a 58-year-old female diagnosed as peri-implant cyst in the periapical area of the right maxillary first premolar implant. The microscopic examination revealed a cystic lining composed of non-keratinized stratified squamous epithelium covered with multilayered epithelium. The lesion was surgically enucleated along with preservation of the implant and wit guided bone regeneration (GBR) method, without any postoperative complications and satisfactory healing, was achieved. One year later, a newly formed bone at the apical region of the right maxillary first premolar implant was radiologically observed.

Key words: peri-implant cyst, odontogenic cyst, peri-implant lesion, dental implant.

Received: 15 01 2022

Accepted for publishing: 23 12 2024

¹Private practice, Kassel, Germany

²Clinic for oral and maxillofacial surgery, Damascus, Syria

Address correspondence to Loutfi Salti, Friedrich Ebert Strasse 69, Kassel 34119, Germany.

E-mail address: dr.l.salti@gmail.com



	Baltic Dental and Maxillofacial Journal

2024, Vol. 26, No. 4 CONTENTS REVIEWS Diagnostic and therapeutic aspects of chronic maxillary sinusitis caused by fungal infections: A review of the literature Miglė Miškinytė, Vėjūnė Rupeikaitė, Bozena Barbara Sakson, Ričardas Kubilius 89 -94 Transition from fibrous to bony ankylosis of the temporomandibular joint: A narrative literature review Nijolė Krasilnikova, Airida Vaikšnytė, Akvilė Strazdaitė, Žygimantas Petronis 95-100 SCIENTIFIC ARTICLES Oral health evaluation of autistics in a reference institution Láyla Beatriz Garcia Lopes, Maria Karen Vasconcelos Fontenele, Beatriz Leal de Freitas, Francisco Dário de Sousa Carvalho, Ronaldo Carvalho Pinto de Almeida, Daniela Andrisia Teixeira Messias, Andressa dos Santos Sousa, Samuel Fontes Batista, Gardene Paiva Magalhães, Carlos Alberto Monteiro Falcão, Cinthya do Melo Val, Maria Ângela Arêa Leão Ferraz 101 -105 CASE REPORT An unusual case report of peri-implant cystic lesion Loutfi Salti, Khaled Al-ouf 106-110 © 2025 Stomatologija		Stomatologija 2024; 26 (4): 106-10 410 KB An unusual case report of peri-implant cystic lesion Loutfi Salti¹, Khaled Al-ouf² Summary A new entity called “peri-implant cyst” has recently been described. This lesion is an inflammatory odontogenic cyst on an osseointegrated implant. It arises from inflammatory stimulation and proliferation of the rests of Malassez. Although a relatively rare condition but potentially the cause of implant failure. Peri- implant cystic lesion exhibits the same radiographic and histopathological features as the radicular cyst. The diagnosis rests on the histology, radiology, and on their correlation with clinical features, in particular the location of the lesion. Herein, we report a case of a 58-year-old female diagnosed as peri-implant cyst in the periapical area of the right maxillary first premolar implant. The microscopic examination revealed a cystic lining composed of non-keratinized stratified squamous epithelium covered with multilayered epithelium. The lesion was surgically enucleated along with preservation of the implant and wit guided bone regeneration (GBR) method, without any postoperative complications and satisfactory healing, was achieved. One year later, a newly formed bone at the apical region of the right maxillary first premolar implant was radiologically observed. Key words: peri-implant cyst, odontogenic cyst, peri-implant lesion, dental implant. Received: 15 01 2022 Accepted for publishing: 23 12 2024 ¹Private practice, Kassel, Germany ²Clinic for oral and maxillofacial surgery, Damascus, Syria Address correspondence to Loutfi Salti, Friedrich Ebert Strasse 69, Kassel 34119, Germany. E-mail address: dr.l.salti@gmail.com