{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T13:03:42Z","timestamp":1762866222636,"version":"3.41.2"},"reference-count":29,"publisher":"American Academy of Implant Dentistry","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,2]]},"abstract":"<jats:p>We report the case of a 74-year-old white male patient who had worn an overdenture for the previous 6 years, retained by 4 screwed implants and a bar, who presented with an exophytic multilobed lesion of 2.5 \u00d7 2.0 cm on the anterior aspect of 1 implant neck, which was surrounded by pink-reddish tissue. All of the soft tissue around the implant was removed until the periosteum was reached. Histologic examination of the lamina propria revealed a cellular proliferation with imprecise boundaries, dense stromal component composed of spindle- to round-shaped mononucleated cells (fibroblasts and monocytes\/macrophages), abundant multinucleated giant cells surrounding microscopic hemorrhagic foci, and deposits of hemosiderin; the diagnosis was peripheral giant-cell reparative granuloma (PGCG). Giant cells share the immunohistochemical expression of monocyte\/macrophage markers (CD68, calprotectin [Mc387]) and osteoclastic cell markers (tartrate-resistant acid phosphatase, cathepsin K, and microphthalmia-associated transcription factor). After 6 months of follow-up, no bone resorption or recurrence of implant loss was observed. There have been only 12 case reports on dental implant\u2013associated PGCG. Research results to date indicate that there may be little difference in immunophenotype among the giant cells of PGCG, central giant cell reparative granuloma, and peri-implant osteolysis. In conclusion, the immunohistochemical study confirms an osteoclast like giant cells phenotype differentiation in PGCG.<\/jats:p>","DOI":"10.1563\/aaid-joi-d-13-00155","type":"journal-article","created":{"date-parts":[[2013,9,23]],"date-time":"2013-09-23T14:33:03Z","timestamp":1379946783000},"page":"55-60","source":"Crossref","is-referenced-by-count":12,"title":["Immunophenotype of Dental Implant-Associated Peripheral Giant Cell Reparative Granuloma in a Representative Case Report"],"prefix":"10.1563","volume":"42","author":[{"given":"Pablo","family":"Galindo-Moreno","sequence":"first","affiliation":[{"name":"Oral Surgery and Implant Dentistry Department, School of Dentistry, University of Granada, Spain."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pedro","family":"Hern\u00e1ndez-Cort\u00e9s","sequence":"additional","affiliation":[{"name":"Department of Traumatology and Orthopedic Surgery, San Cecilio Clinical Hospital, University of Granada, Spain."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosa","family":"R\u00edos","sequence":"additional","affiliation":[{"name":"Pathology Department, San Cecilio Clinical Hospital, University of Granada University of Granada, Spain."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena","family":"S\u00e1nchez-Fern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Oral Surgery and Implant Dentistry Department, School of Dentistry, University of Granada, Spain."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miguel","family":"C\u00e1mara","sequence":"additional","affiliation":[{"name":"Pathology Department, San Cecilio Clinical Hospital, University of Granada University of Granada, Spain."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francisco","family":"O'Valle","sequence":"additional","affiliation":[{"name":"Pathology Department, School of Medicine, and IBIMER, University of Granada, Spain."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"434","reference":[{"key":"i1548-1336-42-1-55-b01","series-title":"Oral Surg Oral Med Oral Pathol","first-page":"159","article-title":"Giant-cell reparative granuloma, traumatic bone cyst, and fibrous (fibrosseous) dysplasia of the jawbones","volume":"6","author":"Jaffe\n              HL.","year":"1953","unstructured":"Jaffe\n              HL.\n            \n          \n          Giant-cell reparative granuloma, traumatic bone cyst, and fibrous (fibrosseous) dysplasia of the jawbones. Oral Surg Oral Med Oral Pathol. 1953;6:159\u2013175."},{"key":"i1548-1336-42-1-55-b02","series-title":"Am J Otolaryngol","first-page":"191","article-title":"Garca Fde M, Samp\u00e9riz LC, Garca AO. Giant-cell reparative granuloma in the temporal bone","volume":"24","author":"Montero\n              EH,","year":"2003","unstructured":"Montero\n              EH, \n            \n              Navarro\n              JS, \n            \n              Pueyo\n              JL, \n          \n          Garca Fde M, Samp\u00e9riz LC, Garca AO. Giant-cell reparative granuloma in the temporal bone. Am J Otolaryngol. 2003;24:191\u2013193."},{"key":"i1548-1336-42-1-55-b03","series-title":"Minerva Stomatol","first-page":"529","article-title":"Peripheral giant cell granuloma associated with a dental implant. A case report","volume":"57","author":"Scarano\n              A,","year":"2008","unstructured":"Scarano\n              A, \n            \n              Iezzi\n              G, \n            \n              Artese\n              L, \n            \n              Cimorelli\n              E, \n            \n              Piattelli\n              A.\n            \n          \n          Peripheral giant cell granuloma associated with a dental implant. A case report. Minerva Stomatol. 2008;57:529\u2013534."},{"key":"i1548-1336-42-1-55-b04","series-title":"Int J Oral Maxillofac Implants","first-page":"295","article-title":"Peripheral giant cell granuloma associated with a dental implant","volume":"19","author":"Bischof\n              M,","year":"2004","unstructured":"Bischof\n              M, \n            \n              Nedir\n              R, \n            \n              Lombardi\n              T.\n            \n          \n          Peripheral giant cell granuloma associated with a dental implant. Int J Oral Maxillofac Implants. 2004;19:295\u2013299."},{"key":"i1548-1336-42-1-55-b05","series-title":"Int J Oral Maxillofac Surg","first-page":"503","article-title":"Reactive lesions of periimplant mucosa associated with titanium dental implants: a report of 2 cases","volume":"39","author":"Olmedo\n              DG,","year":"2010","unstructured":"Olmedo\n              DG, \n            \n              Paparella\n              ML, \n            \n              Brandizzi\n              D, \n            \n              Cabrini\n              RL.\n            \n          \n          Reactive lesions of periimplant mucosa associated with titanium dental implants: a report of 2 cases. Int J Oral Maxillofac Surg. 2010;39:503\u2013507."},{"key":"i1548-1336-42-1-55-b06","series-title":"Oral Surg Oral Med Oral Pathol Oral Radiol Endod","first-page":"618","article-title":"An analysis of peripheral giant cell granuloma associated with dental implant treatment","volume":"103","author":"Cloutier\n              M,","year":"2007","unstructured":"Cloutier\n              M, \n            \n              Makepeace\n              C, \n            \n              Carmichael\n              R, \n            \n              Sandor\n              G.\n            \n          \n          An analysis of peripheral giant cell granuloma associated with dental implant treatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;103:618\u2013622."},{"key":"i1548-1336-42-1-55-b07","series-title":"J Periodontol","first-page":"1381","article-title":"Peripheral giant cell granuloma associated with dental implants","volume":"74","author":"Hirshberg\n              A,","year":"2003","unstructured":"Hirshberg\n              A, \n            \n              Kozlovsky\n              A, \n            \n              Schwartz-Arad\n              D, \n            \n              Mardinger\n              O, \n            \n              Kaplan\n              I.\n            \n          \n          Peripheral giant cell granuloma associated with dental implants. J Periodontol. 2003;74:1381\u20131384."},{"key":"i1548-1336-42-1-55-b08","series-title":"J Periodontol","first-page":"1184","article-title":"Clinical outcome of peri-implant peripheral giant cell granuloma: a report of three cases","volume":"80","author":"Hernandez\n              G,","year":"2009","unstructured":"Hernandez\n              G, \n            \n              Lopez-Pintor\n              RM, \n            \n              Torres\n              J, \n            \n              De Vicente\n              JC.\n            \n          \n          Clinical outcome of peri-implant peripheral giant cell granuloma: a report of three cases. J Periodontol. 2009;80:1184\u20131191."},{"key":"i1548-1336-42-1-55-b09","series-title":"Int J Oral Maxillofac Implants","first-page":"1153","article-title":"Peripheral giant cell granuloma associated with dental implants: a rare case report","volume":"24","author":"Ozden\n              FO,","year":"2009","unstructured":"Ozden\n              FO, \n            \n              Ozden\n              B, \n            \n              Kurt\n              M, \n            \n              Gunduz\n              K, \n            \n              Gunhan\n              O.\n            \n          \n          Peripheral giant cell granuloma associated with dental implants: a rare case report. Int J Oral Maxillofac Implants. 2009;24:1153\u20131156."},{"key":"i1548-1336-42-1-55-b10","series-title":"Minerva Stomatol","first-page":"529","article-title":"Peripheral giant cell granuloma associated with a dental implant. A case report","volume":"57","author":"Scarano\n              A,","year":"2008","unstructured":"Scarano\n              A, \n            \n              Iezzi\n              G, \n            \n              Artese\n              L, \n            \n              Cimorelli\n              E, \n            \n              Piattelli\n              A.\n            \n          \n          Peripheral giant cell granuloma associated with a dental implant. A case report. Minerva Stomatol. 2008;57:529\u2013534."},{"key":"i1548-1336-42-1-55-b11","series-title":"Rev Belge Med Dent 1984","first-page":"152","article-title":"Giant cell peripheral granuloma surrounding a dental implant: case report [in French]","volume":"65","author":"Hanselaer\n              L,","year":"2010","unstructured":"Hanselaer\n              L, \n            \n              Cosyn\n              J, \n            \n              Browaeys\n              H, \n            \n              De Bruyn\n              H.\n            \n          \n          Giant cell peripheral granuloma surrounding a dental implant: case report [in French]. Rev Belge Med Dent 1984. 2010;65:152\u2013158."},{"key":"i1548-1336-42-1-55-b12","series-title":"J Oral Implantol","first-page":"527","article-title":"Peripheral giant cell granuloma associated with dental implants: clinical case and literature review","volume":"38","author":"Pe\u00f1arrocha-Diago\n              MA,","year":"2012","unstructured":"Pe\u00f1arrocha-Diago\n              MA, \n            \n              Cervera-Ballester\n              J, \n            \n              Maestre-Ferr\u00edn\n              L, \n            \n              Pe\u00f1arrocha-Oltra\n              D.\n            \n          \n          Peripheral giant cell granuloma associated with dental implants: clinical case and literature review. J Oral Implantol. 2012;38(spec no.):527\u2013532."},{"key":"i1548-1336-42-1-55-b13","series-title":"Int J Oral Maxillofac Surg","first-page":"94","article-title":"Peripheral giant cell granuloma: clinic-pathologic study of 224 new cases and 956 reported cases","volume":"17","author":"Katsikeris\n              N,","year":"1988","unstructured":"Katsikeris\n              N, \n            \n              Kakarantza-Angelopoulou\n              E, \n            \n              Angelopoulous\n              AP.\n            \n          \n          Peripheral giant cell granuloma: clinic-pathologic study of 224 new cases and 956 reported cases. Int J Oral Maxillofac Surg. 1988;17:94\u201399."},{"key":"i1548-1336-42-1-55-b14","series-title":"J Oral Implantol","first-page":"733","article-title":"A reactive lesion (pyogenic granuloma) associated with dental implant: a case report","volume":"39","author":"Et\u00f6z\n              OA,","year":"2013","unstructured":"Et\u00f6z\n              OA, \n            \n              Soylu\n              E, \n            \n              Kili\u00e7\n              K, \n            \n              G\u00fcnhan\n              O, \n            \n              Akcay\n              H, \n            \n              Alkan\n              A.\n            \n          \n          A reactive lesion (pyogenic granuloma) associated with dental implant: a case report. J Oral Implantol. 2013;39:733\u2013736."},{"key":"i1548-1336-42-1-55-b15","series-title":"Oral and Maxillofacial Pathology. 2nd ed","first-page":"449","author":"Nevill\n              D,","year":"2002","unstructured":"Nevill\n              D, \n            \n              Alen\n              B.\n            \n          \n          Oral and Maxillofacial Pathology. 2nd ed. Philadelphia, Pa: WB Saunders;2002:449\u2013451."},{"key":"i1548-1336-42-1-55-b16","series-title":"J Oral Pathol Med","first-page":"334","article-title":"A comparative immunohistochemical evaluation of CD68 and TRAP protein expression in central and peripheral giant cell granulomas of the jaws","volume":"40","author":"Torabinia\n              N,","year":"2011","unstructured":"Torabinia\n              N, \n            \n              Razavi\n              SM, \n            \n              Shokrolahi\n              Z.\n            \n          \n          A comparative immunohistochemical evaluation of CD68 and TRAP protein expression in central and peripheral giant cell granulomas of the jaws. J Oral Pathol Med. 2011;40:334\u2013337."},{"key":"i1548-1336-42-1-55-b17","series-title":"J Oral Maxillofac Surg","first-page":"1108","article-title":"Markers for macrophage and osteoclast lineages in giant cell lesions of the oral cavity","volume":"55","author":"Tiffee\n              JC,","year":"1997","unstructured":"Tiffee\n              JC, \n            \n              Aufdemorte\n              TB.\n            \n          \n          Markers for macrophage and osteoclast lineages in giant cell lesions of the oral cavity. J Oral Maxillofac Surg. 1997;55:1108\u20131112."},{"key":"i1548-1336-42-1-55-b18","series-title":"Oral Dis","first-page":"20","article-title":"Peripheral giant cell granuloma: an immunohistochemical and ultrastructural study","volume":"1","author":"Carvalho\n              YR,","year":"1995","unstructured":"Carvalho\n              YR, \n            \n              Loyola\n              AM, \n            \n              Gomez\n              RS, \n            \n              Araujo\n              VC.\n            \n          \n          Peripheral giant cell granuloma: an immunohistochemical and ultrastructural study. Oral Dis. 1995;1:20\u201325."},{"key":"i1548-1336-42-1-55-b19","series-title":"Arthritis Res Ther","first-page":"R70","article-title":"The role played by cell-substrate interactions in the pathogenesis of osteoclast-mediated peri-implant osteolysis","volume":"8","author":"Shen\n              Z,","year":"2006","unstructured":"Shen\n              Z, \n            \n              Crotti\n              TN, \n            \n              McHugh\n              KP, \n            et al\n          . The role played by cell-substrate interactions in the pathogenesis of osteoclast-mediated peri-implant osteolysis. Arthritis Res Ther. 2006;8:R70."},{"key":"i1548-1336-42-1-55-b20","series-title":"J Bone Miner Res","first-page":"403","article-title":"Expression of alpha v and beta 3 integrin subunits in rat osteoclasts in situ","volume":"8","author":"Shinar\n              DM,","year":"1993","unstructured":"Shinar\n              DM, \n            \n              Schmidt\n              A, \n            \n              Halperin\n              D, \n            \n              Rodan\n              GA, \n            \n              Weinreb\n              M.\n            \n          \n          Expression of alpha v and beta 3 integrin subunits in rat osteoclasts in situ. J Bone Miner Res. 1993;8:403\u2013414."},{"key":"i1548-1336-42-1-55-b21","series-title":"J Cell Biol","first-page":"1817","article-title":"The osteoclast functional antigen, implicated in the regulation of bone resorption, is biochemically related to the vitronectin receptor","volume":"109","author":"Davies\n              J,","year":"1989","unstructured":"Davies\n              J, \n            \n              Warwick\n              J, \n            \n              Totty\n              N, \n            \n              Philp\n              R, \n            \n              Helfrich\n              M, \n            \n              Horton\n              M.\n            \n          \n          The osteoclast functional antigen, implicated in the regulation of bone resorption, is biochemically related to the vitronectin receptor. J Cell Biol. 1989;109:1817\u20131826."},{"key":"i1548-1336-42-1-55-b22","series-title":"J Biol Chem","first-page":"16737","article-title":"Biochemical characterization of human osteoclast integrins. Osteoclasts express alpha v beta 3, alpha 2 beta 1, and alpha v beta 1 integrins","volume":"268","author":"Nesbitt\n              S,","year":"1993","unstructured":"Nesbitt\n              S, \n            \n              Nesbit\n              A, \n            \n              Helfrich\n              M, \n            \n              Horton\n              M.\n            \n          \n          Biochemical characterization of human osteoclast integrins. Osteoclasts express alpha v beta 3, alpha 2 beta 1, and alpha v beta 1 integrins. J Biol Chem. 1993;268:16737\u201316745."},{"key":"i1548-1336-42-1-55-b23","series-title":"Science","first-page":"1504","article-title":"Bone resorption by osteoclasts","volume":"289","author":"Teitelbaum\n              S.","year":"2000","unstructured":"Teitelbaum\n              S.\n            \n          \n          Bone resorption by osteoclasts. Science. 2000;289:1504\u20131508."},{"key":"i1548-1336-42-1-55-b24","series-title":"Drug News Perspect","first-page":"19","article-title":"The role of cathepsin K in normal bone resorption","volume":"17","author":"Troen\n              BR.","year":"2004","unstructured":"Troen\n              BR.\n            \n          \n          The role of cathepsin K in normal bone resorption. Drug News Perspect. 2004;17:19\u201328."},{"key":"i1548-1336-42-1-55-b25","series-title":"J Bone Miner Res","first-page":"1780","article-title":"Acid attack and cathepsin K in bone resorption around total hip replacement prosthesis","volume":"16","author":"Konttinen\n              YT,","year":"2001","unstructured":"Konttinen\n              YT, \n            \n              Takagi\n              M, \n            \n              Mandelin\n              J, \n            et al\n          . Acid attack and cathepsin K in bone resorption around total hip replacement prosthesis. J Bone Miner Res. 2001;16:1780\u20131786."},{"key":"i1548-1336-42-1-55-b26","series-title":"Mod Pathol","first-page":"1491","article-title":"Immunohistochemical evaluation of microphthalmia-associated transcription factor expression in giant cell lesions","volume":"17","author":"Seethala\n              RR,","year":"2004","unstructured":"Seethala\n              RR, \n            \n              Goldblum\n              JR, \n            \n              Hicks\n              DG, \n            et al\n          . Immunohistochemical evaluation of microphthalmia-associated transcription factor expression in giant cell lesions. Mod Pathol. 2004;17:1491\u20131496."},{"key":"i1548-1336-42-1-55-b27","series-title":"Mol Biol Cell","first-page":"1763","article-title":"Mitf induction by RANKL is critical for osteoclastogenesis","volume":"21","author":"Lu\n              SY,","year":"2010","unstructured":"Lu\n              SY, \n            \n              Li\n              M, \n            \n              Lin\n              YL.\n            \n          \n          Mitf induction by RANKL is critical for osteoclastogenesis. Mol Biol Cell. 2010;21:1763\u20131771."},{"key":"i1548-1336-42-1-55-b28","series-title":"J Pathol","first-page":"4","article-title":"Regulation of the differentiation and function of osteoclasts","volume":"192","author":"Chambers\n              TJ.","year":"2000","unstructured":"Chambers\n              TJ.\n            \n          \n          Regulation of the differentiation and function of osteoclasts. J Pathol. 2000;192:4\u201313."},{"key":"i1548-1336-42-1-55-b29","series-title":"J Biomed Mater Res B Appl Biomater","first-page":"582","article-title":"Pseudosynovial fluid from loosened total hip prosthesis induces osteoclast formation","volume":"74","author":"Mandelin\n              J,","year":"2005","unstructured":"Mandelin\n              J, \n            \n              Liljestrom\n              M, \n            \n              Li\n              TF, \n            et al\n          . Pseudosynovial fluid from loosened total hip prosthesis induces osteoclast formation. J Biomed Mater Res B Appl Biomater. 2005;74:582\u2013588."}],"container-title":["Journal of Oral Implantology"],"original-title":[],"link":[{"URL":"https:\/\/joi.kglmeridian.com\/view\/journals\/orim\/42\/1\/article-p55.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/joi\/article-pdf\/42\/1\/55\/2038977\/aaid-joi-d-13-00155.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/joi.kglmeridian.com\/downloadpdf\/journals\/orim\/42\/1\/article-p55.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/joi.kglmeridian.com\/downloadpdf\/journals\/orim\/42\/1\/article-p55.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,11]],"date-time":"2025-07-11T00:12:13Z","timestamp":1752192733000},"score":1,"resource":{"primary":{"URL":"https:\/\/joi.kglmeridian.com\/view\/journals\/orim\/42\/1\/article-p55.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,2]]},"references-count":29,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.1563\/aaid-joi-d-13-00155","relation":{},"ISSN":["1548-1336","0160-6972"],"issn-type":[{"type":"electronic","value":"1548-1336"},{"type":"print","value":"0160-6972"}],"subject":[],"published":{"date-parts":[[2016,2]]}}}