Survival of the Endodontic Endosseous Implant

By Weine FS, Frank AL.

Date: 02/1994
Journal: JOE

PurposeTo show the indication, technique and outcome of the endosseous implants in two case reports.

Indications:

•Periodontal bone loss. ( if other procedures would cause complications ) •Horizontal fracture of the tooth that requires removal of apical part. •Aggressive lateral root resorption.

Case 1:

•A 48 year old female medically fit.

• Referred for treatment of lower incisor #41 . ( Extreme mobility,  bone loss and deep pocket )

•Endosseous implant was preformed to stabilize the tooth

•One year recall revealed minimal mobility and no further bone loss

•14 years recall revealed stability for the treated tooth, but additional bone loss was noted and mobility on all anterior teeth.

Case 2:

•A 17 year old male medically fit and had orthodontic appliance for 4 years. •Tooth #11 was mobile, tender to percussion and palpation.

•Radiograph showed root resorption and apical portion separated. •Endosseous implant was preformed to improve the CRR after removal of apical part.

• 1 year recall showed stability for the tooth.

•9-19 year recall also showed normal findings and no signs of failure.

Clinical significance:

This treatment method showed unpredictable outcomes and should be replaced with better treatment option.  ( ex. RCT, Periodontal Tx and Implants ).