Foreign body reaction in maxilla: case report

Authors

DOI:

https://doi.org/10.33448/rsd-v9i12.11501

Keywords:

Foreign-body reaction; Bone substitutes; Allografts; Autografts.

Abstract

The foreign body reaction is an immune response that consists of a persistent inflammatory state in which a device, prosthesis, or biomaterial is rejected by the body, which induces its phagocytosis or unsuccessful degradation. After this frustrated elimination process, it causes the macrophages to fuse to form giant foreign body cells, and after the accumulation of collagen secreted by fibroblasts, the formation of a fibrous capsule occurs that isolates the biomaterial from the tissue medium. The treatment of this reaction consists of the surgical removal of the lesion with the subsequent regeneration of the defect, constituting the grafts and bone substitutes as the best therapeutic option and highlighting among these both autografts and allografts. In this review of the literature, the clinical case of a foreign body reaction in the maxilla is presented with its clinical and radiographic characteristics, treatment and postoperative clinical control.

Author Biographies

Gabriela Nathaly Berrezueta Arízaga, Faculty of Dentistry, University of Cuenca, Ecuador

Facultad de Odontología de la Universidad de Cuenca, Ecuador 

David Manuel Pineda Álvarez , Facultad de Odontología, Universidad de Cuenca

Oral and Maxillofacial Surgeon, Latin American Clinic / Professor of the School of Dentistry of the University of Cuenca, Ecuador.

References

Anderson, J. M., Rodriguez, A., & Chang, D. T. (2008). Foreign body reaction to biomaterials. Seminars in Immunology, 20(2), 86-100. https://doi.org/10.1016/j.smim.2007.11.004

Deluiz, D., Santos Oliveira, L., Ramôa Pires, F., Reiner, T., Armada, L., Nunes, M. A., & Muniz Barretto Tinoco, E. (2017). Incorporation and remodeling of bone block allografts in the maxillary reconstruction: A randomized clinical trial. Clinical implant dentistry and related research, 19(1), 180-194.

Feigin, K., & Shope, B. (2019). Use of Platelet-Rich Plasma and Platelet-Rich Fibrin in Dentistry and Oral Surgery: Introduction and Review of the Literature. Journal of Veterinary Dentistry, 36(2), 109-123. https://doi.org/10.1177/0898756419876057

Fillingham, Y., & Jacobs, J. (2016). Bone grafts and their substitutes. The bone & joint journal, 98(1_Supple_A), 6-9.

García-Gareta, E., Coathup, M. J., Blunn, G. W., & Kumar, L. (2015). Osteoinduction of bone grafting materials for bone repair and regeneration. Bone, 81, 112-121. https://doi.org/10.1016/j.bone.2015.07.007

Haugen, H. J., Lyngstadaas, S. P., Rossi, F., & Perale, G. (2019). Bone grafts: Which is the ideal biomaterial? Journal of Clinical Periodontology, 46, 92-102. https://doi.org/10.1111/jcpe.13058

Jordana, F., Le Visage, C., & Weiss, P. (2017). Substituts osseux. médecine/sciences, 33(1), 60-65. https://doi.org/10.1051/medsci/20173301010

Kastellorizios, M., Tipnis, N., & Burgess, D. J. (2015). Foreign Body Reaction to Subcutaneous Implants. En J. D. Lambris, K. N. Ekdahl, D. Ricklin, & B. Nilsson (Eds.), Immune Responses to Biosurfaces (Vol. 865, pp. 93-108). Springer International Publishing. https://doi.org/10.1007/978-3-319-18603-0_6

Klopfleisch, R., & Jung, F. (2017). The pathology of the foreign body reaction against biomaterials: Foreign Body Reaction to Biomaterials. Journal of Biomedical Materials Research Part A, 105(3), 927-940. https://doi.org/10.1002/jbm.a.35958

Mariani, E., Lisignoli, G., Borzì, R. M., & Pulsatelli, L. (2019). Biomaterials: Foreign Bodies or Tuners for the Immune Response? International Journal of Molecular Sciences, 20(3). https://doi.org/10.3390/ijms20030636

Miron, R. J., Sculean, A., Shuang, Y., Bosshardt, D. D., Gruber, R., Buser, D., Chandad, F., & Zhang, Y. (2016). Osteoinductive potential of a novel biphasic calcium phosphate bone graft in comparison with autographs, xenografts, and DFDBA. Clinical Oral Implants Research, 27(6), 668-675. https://doi.org/10.1111/clr.12647

Miron, R. J., Zhang, Q., Sculean, A., Buser, D., Pippenger, B. E., Dard, M., Shirakata, Y., Chandad, F., & Zhang, Y. (2016). Osteoinductive potential of 4 commonly employed bone grafts. Clinical Oral Investigations, 20(8), 2259-2265. https://doi.org/10.1007/s00784-016-1724-4

Mohan, S. P., Jaishangar, N., Devy, S., Narayanan, A., Cherian, D., & Madhavan, S. S. (2019). Platelet-Rich Plasma and Platelet-Rich Fibrin in Periodontal Regeneration: A Review. Journal of Pharmacy & Bioallied Sciences, 11(Suppl 2), S126-S130. https://doi.org/10.4103/JPBS.JPBS_41_19

Nissan, J., Kolerman, R., Chaushu, L., Vered, M., Naishlos, S., & Chaushu, G. (2018). Age‐related new bone formation following the use of cancellous bone‐block allografts for reconstruction of atrophic alveolar ridges. Clinical implant dentistry and related research, 20(1), 4-8.

Papageorgiou, S. N., Papageorgiou, P. N., Deschner, J., & Götz, W. (2016). Comparative effectiveness of natural and synthetic bone grafts in oral and maxillofacial surgery prior to insertion of dental implants: Systematic review and network meta-analysis of parallel and cluster randomized controlled trials. Journal of Dentistry, 48, 1-8.

Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodologia da pesquisa científica. Brasil. https://repositorio.ufsm.br/ bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf?se quence=1

Rolvien, T., Barbeck, M., Wenisch, S., Amling, M., & Krause, M. (2018). Cellular mechanisms responsible for success and failure of bone substitute materials. International journal of molecular sciences, 19(10), 2893.

Shah, R., Gowda, T. M., Thomas, R., Kumar, T., & Mehta, D. S. (2019). Biological activation of bone grafts using injectable platelet-rich fibrin. The Journal of Prosthetic Dentistry, 121(3), 391-393. https://doi.org/10.1016/j.prosdent.2018.03.027

Sheikh, Z., Brooks, P., Barzilay, O., Fine, N., & Glogauer, M. (2015). Macrophages, Foreign Body Giant Cells and Their Response to Implantable Biomaterials. Materials, 8(9), 5671-5701. https://doi.org/10.3390/ma8095269

Sohn, D.-S., Huang, B., Kim, J., Park, W. E., & Park, C. C. (2015). Utilization of autologous concentrated growth factors (CGF) enriched bone graft matrix (Sticky bone) and CGF-enriched fibrin membrane in Implant Dentistry. J Implant Adv Clin Dent, 7, 11-29.

Soni, R., Priya, A., Kumar, L., & Himanshi, Y. (2019). Utilizing autologous growth factors enriched bone graft matrix (sticky bone) and Platelet rich fibrin (PRF) membrane to enable dental implant placement: A case report. IP Annals of Prosthodontics and Restorative Dentistry, 5(1), 16-19. https://doi.org/10.18231/j.aprd.2019.005

Soni, R., Priya, A., Yadav, H., Mishra, N., & Kumar, L. (2019). Bone augmentation with sticky bone and platelet-rich fibrin by ridge-split technique and nasal floor engagement for immediate loading of dental implant after extracting impacted canine. National Journal of Maxillofacial Surgery, 10(1), 98-101. https://doi.org/10.4103/njms.NJMS_37_18

Published

29/12/2020

How to Cite

ARÍZAGA, G. N. B. .; ÁLVAREZ , D. M. P. . Foreign body reaction in maxilla: case report. Research, Society and Development, [S. l.], v. 9, n. 12, p. e46091211501, 2020. DOI: 10.33448/rsd-v9i12.11501. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/11501. Acesso em: 23 apr. 2024.

Issue

Section

Health Sciences