Histopathological and microbiological findings associated with retrograde peri-implantitis of extra-radicular endodontic origin: a systematic and critical review |
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| Affiliation: | 1. Adelaide Dental School, The University of Adelaide, Adelaide, South Australia, Australia;2. Private Practice, Rome, Italy;1. Department of Restorative Dentistry, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil;2. Department of Oral Surgery, Pathology and Clinical Dentistry, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil;3. Life Sciences Institute, Department of Dentistry, Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brazil;4. Department of Business, Paulista School of Politics, Economics and Business, Universidade Federal de São Paulo, Osasco, SP, Brazil;1. Unit of Oral and Maxillofacial Surgery, Oral Health Sciences Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India;2. Advanced Pediatric Centre, Postgraduate Institute of Medical Education and Research, Chandigarh;1. Adjunct Professor, Implantology and Prosthetic Aspects, Master of Science in Dentistry Program, Aldent University, Tirana, Albania; Private Practice, Rome, Italy;2. Graduate Student, ARDEC Academy, Ariminum Odontologica Srl, Rimini, Italy;3. Adjunct Professor, Surgical Microsurgical and Medical Science Department, University of Sassari, Sassari, Italy;4. Assistant Professor, Aldent University, Tirana, Albania; Private Practice, Tirana, Albania;6. Full Professor, Istituto Stomatologico Toscano, Camaiore, Italy;5. Visiting Professor, University of Valencia, Valencia, Spain; Private Practice, Rome, Italy;1. Department of Maxillo-Facial Surgery, University Hospital of Amiens, Avenue Laennec, 80000 Amiens, France;2. EA CHIMERE, Picardie Jules Verne University, Avenue Laennec, 80000 Amiens, France;3. Department of Plastic and Reconstructive Surgery, Université Catholique de Louvain-Clinique Universitaire, St-Luc Avenue Hippocrate, 1200 Bruxelles, Belgium;1. Maxillofacial Surgery Unit, Azienda Ospedaliero, University of Udine, Udine, Italy;2. Department of Medical and Biological Science, University of Udine, Udine, Italy;1. Graduate Programme in Clinical Dentistry, Positivo University, Curitiba, Paraná, Brazil;2. Department of Stomatology, School of Dentistry, Federal University of Paraná, UFPR, Paraná, Brazil |
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| Abstract: | The aim of this study was to systematically review the aetiology, in particular histopathological and microbiological factors, of retrograde peri-implantitis of endodontic origin. The review is registered in the PROSPERO database (CRD42017063898). An electronic search for publications was performed in two databases, from their inception up to October 2018. Subsequently a hand search of the reference lists was conducted. Articles in English and other languages using Latin characters were included. Two independent reviewers selected the studies, extracted and synthesized the data, and assessed the quality. The methodology of the included articles was evaluated using the relevant Joanna Briggs Institute tools. Six studies fulfilled the eligibility criteria and were included in the systematic review. Histopathological examination in the component studies reflected that the presentation of retrograde peri-implantitis involves cyst formation or chronic inflammation. Bacteria found in these lesions included Porphyromonas gingivalis, Corynebacterium, Streptococcus, and Klebsiella pneumoniae. Two studies were judged as having a low possibility of bias and four were judged as having a moderate possibility of bias. This review determined that endodontic complications associated with adjacent teeth, residual infection at the extraction site due to previous apical periodontitis, or refractory apical periodontitis might be considered likely aetiological factors, although the evidence is limited. |
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| Keywords: | cyst endodontics extra-radicular retrograde root canal peri-implantitis |
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