case_images: PMC4678085_01
case_images: (a) Exophytic granulomatous lesion in 16 and 17 implants. (b) Palatal view of the granulomatous lesion in 16 and 17. (c) Granulomatous lesion in 36.
case_images: IJD2015-839032.001.jpg
case_images: PMC4678085_01_IJD2015-839032.001.jpg
case_images: fig1
case_images: They were associated with the gingiva, located on the buccal and palatal/lingual sides of implants 3.6, 1.6, and 1.7 (Figure 1).
case_images: (a) Periapical radiograph that shows bone loss in implants 16 and 17. (b) Periapical radiograph that shows bone involvement in implant 36.
case_images: IJD2015-839032.002.jpg
case_images: PMC4678085_01_IJD2015-839032.002.jpg
case_images: fig2
case_images: The microscopic description was that of ulcerated lesions covered by a fibrin and leukocyte membrane and made up of granulation tissue with a mixed inflammatory infiltrate with polymorphonuclears, together with vascular proliferation (Figure 2).
case_images: (a) 12-month postexcision follow-up of the lesion in 16 and 17 area. (b) Palatal view of the 12-month postexcision follow-up of the lesion in 16 and 17. (c) 12 month postexcision follow-up of the lesion in 36.
case_images: IJD2015-839032.003.jpg
case_images: PMC4678085_01_IJD2015-839032.003.jpg
case_images: fig3
case_images: Postoperatively there were no further issues and there was no evidence of relapse at 12-month follow-up (Figure 3).
case_images: PMC4678085_02
case_images: (a) Exophytic granulomatous lesion in 4.6. (b) Periapical radiograph that shows bone involvement in implant 46.
case_images: IJD2015-839032.004.jpg
case_images: PMC4678085_02_IJD2015-839032.004.jpg
case_images: fig4
case_images: Periapical radiograph revealed bone loss of 4 mm affecting both the mesial and distal surfaces of the implant (Figure 4).
case_images: Histopathology of peripheral giant-cell granuloma.
case_images: IJD2015-839032.005.jpg
case_images: PMC4678085_02_IJD2015-839032.005.jpg
case_images: fig5
case_images: Histopathology confirmed that it was an ulcerated peripheral giant-cell granuloma, without suggestion of malignancy (Figure 5).
case_images: 12-month postexcision follow-up of the lesion located in 46.
case_images: IJD2015-839032.006.jpg
case_images: PMC4678085_02_IJD2015-839032.006.jpg
case_images: fig6
case_images: Postoperative healing was good and at 12-month follow-up there was no evidence of recurrence (Figure 6).