中国口腔种植学杂志 ›› 2025, Vol. 30 ›› Issue (4): 384-387.DOI: 10.12337/zgkqzzxzz.2025.08.009

• 病例报告 • 上一篇    下一篇

种植体周囊肿1例

许曼君, 刘春杰, 孙吏聪, 李宏, 郭福君   

  1. 河南科技大学临床医学院 河南科技大学第一附属医院,洛阳 471003
  • 收稿日期:2024-12-04 出版日期:2025-08-30 发布日期:2025-08-29
  • 通讯作者: 许曼君,Email:1532146795@qq.com,电话:0379-69823266
  • 作者简介:许曼君,主治医师、硕士,研究方向:口腔种植、颌面部肿瘤等相关研究。

A case report of a peri-implant cyst

Xu Manjun, Liu Chunjie, Sun Licong, Li Hong, Guo Fujun   

  1. The First Affiliated Hospital, and College of Clinical Medicine of Henan University of Science and Technology, Luoyang 471003, Henan, China
  • Received:2024-12-04 Online:2025-08-30 Published:2025-08-29
  • Contact: Xu Manjun, Email: 1532146795@qq.com, Tel: 0086-379-69823266

摘要: 本文报告了1例由邻牙根尖周炎引发的种植体周囊肿的病例。患者因右侧下颌47位点种植体周肿痛就诊,经锥形束计算机体层成像等检查确诊。治疗中行47位点松动种植体拔除及病变组织刮除,并对46牙进行部分牙根截除及病变刮治,术后病理提示为牙源性囊肿伴感染,随访示创口恢复良好。结合相关文献对该病例进行分析,探讨种植体周囊肿的发病原因、临床特点、诊断手段及防治策略,旨在为口腔种植临床医师提供参考,助力提升对该病的认识和诊治水平。

关键词: 种植体周囊肿, 种植体周炎, 根尖周炎

Abstract: This paper reports a case of a peri-implant cyst associated with periapical periodontitis of the adjacent tooth. The patient presented with swelling and pain around the implant at site 47 in the right mandible, and the diagnosis was confirmed by cone beam computed tomography and other examinations. Treatment included removal of the loosened implant at site 47 and curettage of the cystic lesion. Additionally, a partial root resection and lesion curettage were performed on tooth 46. Histopathological examination confirmed an odontogenic cyst with secondary infection. Follow-up showed satisfactory wound healing without complications. Based on an in-depth analysis of this case and a review of the relevant literature, we comprehensively discuss the etiology, clinical features, diagnostic approaches, and prevention and treatment strategies for peri-implant cysts. This report aims to provide valuable insights for oral implant clinicians to enhance understanding, diagnosis, and management of this condition.

Key words: Peri-implant cyst, Peri-implantitis, Periapical periodontitis