Retrograde peri implantitis – A case report with literature review

Abstract

Retrograde implant-related peri-implantitis (RPI), the apical part of an osseointegrated implant, which maintains good bone-to-implant contact in its coronal portion, is the sole part of the implant that is affected by peri apical lesion (IPL), a primary microbial inflammatory disease. Apical radiolucency and clinical symptoms are the main factors used to diagnose RPI. In the initial weeks following implant implantation, this disease may be upshot in implant failure if it is not identified and treated promptly. RPI has been linked to numerous etiologies, such as surgical trauma and preexisting microbial disease. Furthermore, a variety of techniques have been employed to categorize RPI according to various criteria. Up until now, it has been thought that the removal of defective implants and non-surgical and surgical treatment may effectively address RPI. In addition to providing important literature, this article explains the genesis, diagnosis, prevention, and treatment approaches of implant apical lesions and provides a case of implant periapical diseases. Additionally, we describe a rare instance of RPI in a 47-year-old female patient who experienced pain at the implant site in the posterior maxillary region.