Cancerous lesions in the vicinity of dental implants: a systematic review

doi:10.1051/mbcb/2020040

Q3 · DentistryImpact Factor · 0.832

AutoresÁngel-Orión Salgado-Peralvo, Víctor Serrano-Sánchez, Iris Vaello-Checa, Alexandra Helm, María‐Victoria Mateos‐Moreno, Alberto Salgado-Velázquez

Por qué importa

Esta revisión sistemática analiza la literatura existente sobre carcinomas de células escamosas orales (CCEO) y sus variantes clínicas, así como metástasis, localizadas en la proximidad de implantes dentales. Dada la creciente prevalencia de tratamientos implantológicos, es fundamental que los profesionales estén al tanto de posibles complicaciones menos comunes pero graves. Aunque el estudio no establece una relación causal definitiva entre los implantes y el desarrollo de CCEO, subraya la importancia de la detección temprana. La presentación clínica de estas lesiones malignas puede simular una periodontitis periimplantaria, lo que dificulta el diagnóstico inicial. Por ello, ante casos de aparición súbita, resistencia al tratamiento convencional o alteraciones sensitivas asociadas, se recomienda enfáticamente la realización de una biopsia para descartar malignidad y garantizar un manejo adecuado del paciente.

Abstract original

Introduction: The massive diffusion of dental implant treatments in the last decades leads to the appearance of complications, most of them inflammatory, although important complications have been described as malignant lesions in the vicinity of dental implants. The objective of this article is to describe the cases described in the literature of oral squamous cell carcinoma (OSCC) or clinical variants and metastases, in the vicinity of dental implants and to analyze the possible etiological agents involved. Material and methods: The criteria used were those described in the PRISMA® Declaration for performing systematic reviews. An electronic search was performed on MEDLINE (via PubMed) using the terms MeSH: “dental implants” AND “squamous cell carcinoma” OR “dental implant complications” AND “squamous cell carcinoma”. Results: Thirty-eight articles describing a total of 76 cases of OSCC or clinical variants, as well as metastasis in the vicinity of dental implants, were included. Conclusions: It is not possible to establish a cause-effect relationship between dental implants and the development of OSCC. Its clinical appearance can be confused with periimplantitis, so that, in cases of sudden onset, which do not respond to conventional treatment and/or have associated alterations in sensitivity, a biopsy should be performed.

Leer texto completo ↗DOI · 10.1051/mbcb/2020040

Autores Doctor&Cols

Cómo citar

Salgado-Peralvo Á, Serrano-Sánchez V, Vaello-Checa I, Helm A, Mateos‐Moreno M, Salgado-Velázquez A. Cancerous lesions in the vicinity of dental implants: a systematic review. Journal of Oral Medicine and Oral Surgery. 2020. doi:10.1051/mbcb/2020040