Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
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Thermally induced bone necrosis during implant surgery: 3 case reports

임플란트 식립시 발생한 열에 의한 골괴사: 증례보고

  • Jo, Kyu-Hong (Department of Oral and Maxillofacial Surgery, Sanggye Paik Hospital, College of Medicine, Inje University) ;
  • Yoon, Kyh-Ho (Department of Oral and Maxillofacial Surgery, Sanggye Paik Hospital, College of Medicine, Inje University) ;
  • Park, Kwan-Soo (Department of Oral and Maxillofacial Surgery, Sanggye Paik Hospital, College of Medicine, Inje University) ;
  • Bae, Jung-Ho (Department of Oral and Maxillofacial Surgery, Sanggye Paik Hospital, College of Medicine, Inje University) ;
  • You, Kyung-Ha (Department of Oral and Maxillofacial Surgery, Sanggye Paik Hospital, College of Medicine, Inje University) ;
  • Han, Ji-Hoon (Department of Oral and Maxillofacial Surgery, Sanggye Paik Hospital, College of Medicine, Inje University) ;
  • Shin, Jae-Myung (Department of Oral and Maxillofacial Surgery, Ilsan Paik Hospital, College of Medicine, Inje University) ;
  • Baik, Jee-Seon (Department of Oral and Maxillofacial Surgery, Ilsan Paik Hospital, College of Medicine, Inje University) ;
  • Jeon, In-Seong (S & H Dental Clinic) ;
  • Cheong, Jeong-Kwon (Department of Oral and Maxillofacial Surgery, Sanggye Paik Hospital, College of Medicine, Inje University)
  • 조규홍 (인제대학교 의과대학 상계백병원 구강악안면외과학 교실) ;
  • 윤규호 (인제대학교 의과대학 상계백병원 구강악안면외과학 교실) ;
  • 박관수 (인제대학교 의과대학 상계백병원 구강악안면외과학 교실) ;
  • 배정호 (인제대학교 의과대학 상계백병원 구강악안면외과학 교실) ;
  • 유경하 (인제대학교 의과대학 상계백병원 구강악안면외과학 교실) ;
  • 한지훈 (인제대학교 의과대학 상계백병원 구강악안면외과학 교실) ;
  • 신재명 ;
  • 백지선 ;
  • 전인성 ;
  • 정정권 (인제대학교 의과대학 상계백병원 구강악안면외과학 교실)
  • Received : 2011.05.30
  • Accepted : 2011.09.29
  • Published : 2011.10.31
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Abstract

Thermally induced bone necrosis during implant surgery is a rare phenomenon and a potential contributing factor to implant failure. The frictional heat generated at the time of surgery causes a certain degree of necrosis of the surrounding differentiated and undifferentiated cells. The bone necrosis occurred in the mandible in all three cases, leading to a soft tissue lesion and pain. In each case, radiolucent areas appeared in the middle and apical portions of the implant 4 weeks after surgery. Thermally induced bone necrosis did not improve following systemic antibiotic medication, necessitating surgical treatment. The nonintegrated implants were removed, and meticulous debridement of dead bone and granulation tissue was performed. Then, new implants were implanted along with the placement of autogenous and xenogenic bone covered with a collagen membrane. No further complications occurred after re-operation. The radiolucencies around the new implants gradually resolved entirely, and the soft tissue lesions healed successfully. At 4-5 months after reoperation, implant loading was initiated and the implant-supported restorations have been functioning. The aim of this case report is to present the successful clinical treatment of three cases suspected to be caused by thermally induced bone necrosis after implant drilling.

Keywords

References

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