Peri-Implant Diseases: an update for dentistry

Objetivo: este estudo tem como objetivo apresentar e descrever as principais alterações patológicas, benignas e malignas da mucosa peri-implantar. Material e Métodos: uma revisão integrativa da literatura foi realizada utilizando os seguintes descritores: patologia peri-implantar; implante dentário de lesão reativa; implante dentário de carcinoma; implante dentário de doença peri-implantar; lesão reativa por implante dentário; carcinoma oral de células escamosas ao redor de implantes dentários; doença peri-implantar; patologia; para a elaboração da estratégia de busca nas bases de dados PubMed, LILACS, MEDLINE e SciElo para obtenção das produções científicas. Resultados: condições como mucosite peri-implantar e peri-implantite são pouco relatadas na literatura, o que dificulta a estimativa de sua real prevalência. Dentre as lesões reativas benignas, destacam-se o granuloma piogênico e o granuloma periférico de células gigantes, descritos como os mais frequentemente associados aos implantes. Em relação à neoplasia, foram publicados casos de hemangioma e CECO, sugerindo uma possível influência do implante no desenvolvimento dessas condições. Conclusão: a ocorrência de diversas patologias associadas a implantes dentários foi observada na literatura, o que demonstra a importância de um exame clínico detalhado, associado, em determinadas situações, a exame histopatológico para um diagnóstico acurado e manejo adequado das diversas doenças peri-implantares

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