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. 2015:2015:976756.
doi: 10.1155/2015/976756. Epub 2015 Dec 14.

Clinical Management of a Peri-Implant Giant Cell Granuloma

A Pacifici  1 , D Carbone  1 , R Marini  1 , G L Sfasciotti  1 , L Pacifici  1
Affiliations

Clinical Management of a Peri-Implant Giant Cell Granuloma

A Pacifici et al. Case Rep Dent. 2015.

Abstract

Purpose. Implant therapy plays an important role in contemporary dentistry with high rates of long-term success. However, in recent years, the incidence of peri-implantitis and implant failures has significantly increased. The peripheral giant cell granuloma (PGCG) rarely occurs in peri-implant tissues and it is clinically comparable to the lesions associated with natural teeth. Therefore, the study of possible diseases associated with dental implants plays an important role in order to be able to diagnose and treat these conditions. Materials and Methods. This report described a 60-year-old Caucasian male who presented a reddish-purple pedunculated mass, of about 2 cm in diameter, associated with a dental implant and the adjacent natural tooth. Results. An excisional biopsy was performed and the dental implant was not removed. Histological examination provided the diagnosis of PGCG. After 19-month follow-up, there were no signs of recurrence of peri-implantitis around the implant. Conclusion. The correct diagnosis and appropriate surgical treatment of peri-implant giant cell granuloma are very important for a proper management of the lesion in order to preserve the implant prosthetic rehabilitation and prevent recurrences.

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Figures

Figure 1
Figure 1
Intraoral examination: note the exophytic mass on the palatal aspect associated with the canine and dental implant.
Figure 2
Figure 2
(a, b) Peri-implant probing.
Figure 3
Figure 3
Panoramic radiograph showing a radiolucent lesion surrounding the implant and the upper right canine.
Figure 4
Figure 4
(a, b) Vestibular and palatal excisional biopsy of the lesion.
Figure 5
Figure 5
Suture of the surgical wound.
Figure 6
Figure 6
Histologic specimens.
Figure 7
Figure 7
(a, b) Follow-up after 7 days.
Figure 8
Figure 8
(a, b, c) Clinical and radiological follow-up after 19 months.
Figure 9
Figure 9
Histologic examination (hematoxylin and eosin ×10).
See this image and copyright information in PMC

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