Case Report
Management of Postsurgical Complication in Multiple
Implant-Infected Postextraction Sites in the Lower Arch
Frank Mayta-Tovalino ,
1,2
Jos´ e Rosas,
3,4
Cesar Mauricio-Vilchez,
3,5
Silvia Luza,
2
Daniel Alvitez-Temoche ,
5
and Franco Mauricio
5
1
Faculty of Health of Sciences, Postgraduate Department, Universidad Cientifica Del Sur, Lima, Peru
2
Faculty of Dentistry, School of Dentistry, Universidad Nacional Mayor de San Marcos, Lima, Peru
3
Postgraduate Department, Faculty of Stomatology, Universidad Peruana Cayetano Heredia, Lima, Peru
4
School of Dentistry, Academic Department, Universidad Privada San Juan Bautista, Lima, Peru
5
Faculty of Dentistry, Academic Department, Universidad Nacional Federico Villarreal, Lima, Peru
Correspondence should be addressed to Frank Mayta-Tovalino; fmaytat@ucientifica.edu.pe
Received 20 May 2020; Revised 13 September 2020; Accepted 17 September 2020; Published 29 September 2020
Academic Editor: Antonino Lo Giudice
Copyright © 2020 Frank Mayta-Tovalino et al. is is an open access article distributed under the Creative Commons Attribution
License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is
properly cited.
Currently, dental implants are a very frequent therapeutic alternative for replacing missing teeth. However, they are not exempt
from developing complications of infectious origin. erefore, this case report describes a 67-year-old female patient presenting
infectious complications caused by suture rupture. Surgery combined with therapeutic management with antibiotics was
performed, allowing preservation of the osseointegration of the implants in the lower arch. Within the limitations of this study, it
was shown that more research is needed to determine the success and survival of implants presenting complications due to
infections during the osseointegration process.
1. Introduction
Currently, the indication of dental extraction is very com-
mon before the placement of dental implants, especially
when these teeth have a reserved prognosis. However, one of
the main problems of dental extraction is that it usually
significantly affects the volume of soft and hard tissues after
tooth extraction. is tissue loss can directly affect the future
positioning of the implants causing poor prosthetic reha-
bilitation [1, 2].
Postextraction implant placement mainly has a social
and clinical impact since the patient usually recovers es-
thetic, phonetic, and chewing components faster, signifi-
cantly reducing the treatment time and avoiding a second
surgical intervention [1]. Several studies have shown that
immediate placement of implants in fresh extraction areas is
successful when appropriate protocols are carried out.
However, implant placement in infected areas is considered
a risk factor, although data from animal and human studies
have shown similar success rates for implants placed in
infected sites compared to uninfected sites [2, 3]. Otherwise,
immediate posttooth implants are usually indicated to re-
place teeth lost due to injuries or infections of chronic origin,
for example, teeth with a history of failed endodontic
treatment [3–5].
On the other hand, the success of dental implant
placement in sites with and without localized infection is
different regardless of the pre- and postoperative adminis-
tration of systemic antibiotics. Indeed, it has been reported
that dental implant placement in infected sites increases the
potential risk of unsuccessful osseointegration of the implant
[4–8].
us, the aim of this case report was to present the
management of postsurgical complications in multiple
implant-infected postextraction sites in the edentulous lower
arch.
Hindawi
International Journal of Dentistry
Volume 2020, Article ID 8869046, 5 pages
https://doi.org/10.1155/2020/8869046