Re-osseointegration of a Dental Implant with Aseptic Loosening after Occlusal Correction: a Case Report

Abstract

The preservation of osseointegration is fundamental for the long­term success of dental implants. Breakdown of osseointe­ gration may occur in cases of aseptic implant loosening, a poor­ ly understood process leading to sudden implant failure. So far, no evidence­based therapy concept exists for implants with aseptic loosening. The present case report demonstrates the reosseointegration of a dental implant in the mandible of a 79­year­ old female patient with mamma carcinoma after loss of osseointegration caused by aseptic loosening. The only treatment performed was a correction of the occlusion. After a period of eight months, a re­osseointegration was observed clinically and radiographi­ cally, and remained stable for the follow­up period of 21 months. Reduction of occlusal forces after correction of the occlusion may have facilitated a re­osseointegration. Potential influences of concurrent antineoplastic chemotherapy regarding breast carci­noma or further unknown influences on implant re­osseointe­gration cannot be ruled out.