Implant Peri-apical Lesions: Literature Review and Two Case Reports

Zülal Deniz Güner; Murat Akkaya; Fatma Karacaoğlu; Mehmet Hakan Kurt

doi:10.7126/cumudj.1628378

Implant Peri-apical Lesions: Literature Review and Two Case Reports

Abstract

Introduction: Implant peri-apical lesion is a peri-implant complication characterized by radiographic bone loss around the implant apex. Different approaches have been proposed for the treatment of implant peri-apical lesions, including periapical surgery and regenerative surgery with or without resection of the implant apex. Method: In this systematic review, we searched the available literature on implant apical lesions using the PubMed database and described the possible etiologies and treatments of two implant peri-apical lesions that occurred at different stages of osteointegration. Case Report: Two patients presented to our clinic with pain and swelling 16 days and 7 months after implant surgery. In both patients, the operation site was opened, granulation tissues were removed and the area was irrigated with sterile saline. In the second patient, graft and membrane application was performed additionally. Both sites were closed primerally. Conclusion: No complications were observed at either site during the follow-up period. Therefore, both approaches can be considered effective in the treatment of implant peri-apical lesions.

Keywords

Ethical Statement

Ethics committee approval is not required for this study.

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Details

Primary Language

English

Subjects

Oral Implantology , Periodontics

Journal Section

Review

Authors

Zülal Deniz Güner ^*
0009-0009-6439-5404
Türkiye

Murat Akkaya
0000-0002-3211-6572
Türkiye

Fatma Karacaoğlu
0000-0003-0122-2038
Türkiye

Mehmet Hakan Kurt
0000-0001-8312-5674
Türkiye

Publication Date

September 30, 2025

Submission Date

January 28, 2025

Acceptance Date

May 20, 2025

Published in Issue

Year 2025 Volume: 28 Number: 3

DOI

https://doi.org/10.7126/cumudj.1628378

IZ

https://izlik.org/JA24TA43BX

Cite

RIS / Bibtex

EndNote

Güner ZD, Akkaya M, Karacaoğlu F, Kurt MH (September 1, 2025) Implant Peri-apical Lesions: Literature Review and Two Case Reports. Cumhuriyet Dental Journal 28 3 435–446.