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Thermally induced bone necrosis during implant surgery: 3 case reports
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  • Thermally induced bone necrosis during implant surgery: 3 case reports
  • Thermally induced bone necrosis during implant surgery: 3 case reports
저자명
조규홍,윤규호,박관수,배정호,유경하,한지훈,신재명,백지선,전인성,정정권,Jo. Kyu-Hong,Yoon. Kyh-Ho,Park. Kwan-Soo,Bae. Jung-Ho,You. Kyung-Ha,Han. Ji-Hoon,Shin. J
간행물명
大韓口腔顎顔面外科學會誌
권/호정보
2011년|37권 5호|pp.406-414 (9 pages)
발행정보
대한구강악안면외과학회
파일정보
정기간행물|ENG|
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
서지반출

기타언어초록

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.