scholarly journals Single-Tooth Morse Taper Connection Implant Placed in Grafted Site of the Anterior Maxilla: Clinical and Radiographic Evaluation

2014 ◽  
Vol 2014 ◽  
pp. 1-11 ◽  
Author(s):  
Francesco Guido Mangano ◽  
Piero Zecca ◽  
Fabrizia Luongo ◽  
Giovanna Iezzi ◽  
Carlo Mangano
Keyword(s):  
Bone Resorption ◽  
Tooth Extraction ◽  
Soft Tissues ◽  
Radiographic Evaluation ◽  
Reconstruction Technique ◽  
Anterior Maxilla ◽  
Reconstructive Procedures ◽  
Aesthetic Result ◽  
Implant Placement ◽  
Barrier Membrane

The aim of this study was to achieve aesthetically pleasing soft tissue contours in a severely compromised tooth in the anterior region of the maxilla. For a right-maxillary central incisor with localized advanced chronic periodontitis a tooth extraction followed by reconstructive procedures and delayed implant placement was proposed and accepted by the patient. Guided bone regeneration (GBR) technique was employed, with a biphasic calcium-phosphate (BCP) block graft placed in the extraction socket in conjunction with granules of the same material and a resorbable barrier membrane. After 6 months of healing, an implant was installed. The acrylic provisional restoration remained in situ for 3 months and then was substituted with the definitive crown. This ridge reconstruction technique enabled preserving both hard and soft tissues and counteracting vertical and horizontal bone resorption after tooth extraction and allowed for an ideal three-dimensional implant placement. Localized severe alveolar bone resorption of the anterior maxilla associated with chronic periodontal disease can be successfully treated by means of ridge reconstruction with GBR and delayed implant insertion; the placement of an early-loaded, Morse taper connection implant in the grafted site was effective to create an excellent clinical aesthetic result and to maintain it along time.

scholarly journals Immediate Loading of Single Post-Extractive Implants in the Anterior Maxilla: 12-Month Results From a Multicenter Clinical Study

2012 ◽  
Vol 38 (S1) ◽  
pp. 477-484 ◽  
Author(s):  
Tommaso Grandi ◽  
Giovanna Garuti ◽  
Rawad Samarani ◽  
Paolo Guazzi ◽  
Andrea Forabosco
Keyword(s):  
Clinical Study ◽  
Soft Tissue ◽  
Bone Resorption ◽  
Tooth Extraction ◽  
Immediate Loading ◽  
Insertion Torque ◽  
Anterior Maxilla ◽  
Implant Placement ◽  
Implant Size ◽  
Multicenter Clinical Study

The purpose of the study was to evaluate survival and peri-implant bone levels of single, immediately loaded post-extractive implants in the anterior maxilla 12 months after implant placement. Thirty-six consecutive patients from 3 study centers were included in the study. The concerned sites were upper premolars, canines, and incisors. For each patient the following data were recorded: reason for tooth extraction, bone quality, implant size, and final insertion torque. Implants were placed using a flapless technique and immediately loaded with a nonoccluding temporary restoration. Final restorations were provided 4 months later. Peri-implant bone resorption was evaluated radiographically after 6 and 12 months. The average final insertion torque was 70.55 Ncm. One implant inserted in D3 quality bone with a 35-Ncm seating torque was lost. All other implants had a final insertion torque ranging between 50 and 80 Ncm. The average peri-implant bone loss was 0.437 and 0.507 mm at 6 and 12 months, respectively. All the sites maintained excellent papillae and peri-implant soft-tissue conditions. The resulting 1-year success rate was 97.2%. Immediate nonfunctional loading of single post-extractive implants in the anterior maxilla is a predictable treatment. And it seems that achieving high insertion torques by placing self-tapping/self-condensing implants in an underprepared osteotomy is favorable.

Immediate Postextraction Implant Placement Using Plasma Rich in Growth Factors Technology in Maxillary Premolar Region: A New Strategy for Soft Tissue Management

2013 ◽  
Vol 39 (1) ◽  
pp. 98-102 ◽  
Author(s):  
Gabriele Rosano ◽  
Silvio Taschieri ◽  
Massimo Del Fabbro
Keyword(s):  
Growth Factors ◽  
Soft Tissue ◽  
Autologous Plasma ◽  
Anterior Maxilla ◽  
Aesthetic Result ◽  
Implant Placement ◽  
Extraction Site ◽  
Increased Risk ◽  
New Strategy ◽  
Tissue Grafts

Achieving an excellent aesthetic outcome in postextraction dental implant placement in the anterior maxilla is a challenging procedure for clinicians. In fact, there is an increased risk for soft tissue recession at the facial aspect which may require supplementary connective tissue grafts to accomplish the final aesthetic result. The aim of this case report is to describe a regenerative technique using autologous plasma rich in growth factors fibrin plug for preservation of soft tissue architecture around an implant immediately placed into an extraction site in the anterior maxilla. Such a procedure allowed for guided bone regeneration without the need for vertical releasing incisions and primary healing, thus showing a pleasant gingival contour at the facial aspect after a single stage surgery. Integrating this technique into common practice could provide important benefits for the patients regarding aesthetics, without any risk of infection or transmission of diseases.

scholarly journals Implant Site Guided Bone Regeneration and Pontic Site Ridge Preservation: A Case Report

PRILOZI ◽  
2021 ◽  
Vol 42 (2) ◽  
pp. 103-108
Author(s):  
Darko Veljanovski ◽  
Denis Baftijari ◽  
Zoran Susak ◽  
Aneta Atanasovska Stojanovska
Keyword(s):  
Soft Tissue ◽  
Bone Regeneration ◽  
Soft Tissues ◽  
Guided Bone Regeneration ◽  
Autogenous Bone ◽  
Collagen Membrane ◽  
Ridge Preservation ◽  
Bovine Bone ◽  
Implant Placement ◽  
Barrier Membrane

Abstract Guided bone regeneration (GBR) is a therapeutic modality to achieve bone regeneration with the use of barrier membranes. The use of deproteinized bovine bone material (DBBM) for ridge preservation allows the preservation of the edentulous ridge dimensions. Here, we present a case of horizontal GBR using DBBM and a resorbable membrane, with simultaneous implant placement. Simultaneously, ridge preservation of the pontic area, using DBBM within a “socket seal” procedure was performed. Two implants were places at sites 23 and 26 to support a fixed partial denture (FPD). The mesial implant showed exposed buccal threads, which were then covered with autogenous bone particles and small size granules of DBBM. The collagen membrane was stabilized with periosteal mattress suture. Six months postoperatively, CBCT images revealed a stable buccal bone layer at the implant site, indicating a successful GBR procedure. At this point in time, tooth 24 was atraumatically extracted. A ridge preservation was done utilizing DBBM, and a soft tissue graft form the tuber. A ceramic-metal FPD with excellent “white aesthetics” and a harmonic transition zone to the soft tissue was fabricated. At 3 years follow up, the peri-implant bone levels were stable, and the clinical outcomes were excellent. It is concluded that a GBR procedure, utilizing DBBM and a collagen barrier membrane with simultaneous implant placement, as well as ridge preservation using DBBM, are predictable therapeutic methods. However, gentle manipulation of the soft tissues, and wound stability, with tension-free passive closure of the wound margins are prerequisites for a long-term clinical success.

scholarly journals Tissue Recession around a Dental Implant in Anterior Maxilla: How to Manage Soft Tissue When Things Go Wrong?

Prosthesis ◽  
2021 ◽  
Vol 3 (3) ◽  
pp. 209-220
Author(s):  
Uccioli Umberto ◽  
Fonzar Alberto ◽  
Lanzuolo Stefania ◽  
Meloni Silvio Mario ◽  
Lumbau Aurea Immacolata ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Soft Tissue ◽  
Gold Standard ◽  
Orthodontic Treatment ◽  
Tooth Extraction ◽  
Decision Making Process ◽  
Anterior Maxilla ◽  
Socket Preservation ◽  
Connective Tissue Graft ◽  
Implant Placement

Dental implants represent the gold standard for the treatment of single edentulism, even in anterior areas. Today, the basic criteria for implant success has changed from mobility, pain, radiolucency, and peri-implant bone loss (>1.5 mm) to prosthetic level success, aesthetics, soft tissue parameters, as well as patient satisfaction. This case report documents a combination of surgical and prosthetic procedures for the treatment of gingival recessions in the anterior maxilla, appearing after tooth extraction, socket preservation, and staged guided implant placement. Prosthetic management of the temporary restoration, orthodontic treatment, and a connective tissue graft were performed. The decision-making process and step-by-step execution of the treatments are presented to describe the entire clinical and surgical management of the reported case. Finally, good aesthetic outcomes, patient satisfaction, and recovery of the soft tissue recession were observed with the combination of these techniques.

scholarly journals Socket Preservation with Alloplast: Discussion and a Descriptive Case

2012 ◽  
Vol 13 (6) ◽  
pp. 934-937 ◽  
Author(s):  
Lanka Mahesh ◽  
TV Narayan ◽  
Praful Bali ◽  
Sagrika Shukla
Keyword(s):  
Bone Resorption ◽  
Tooth Extraction ◽  
Surgical Correction ◽  
Alveolar Ridge ◽  
Socket Preservation ◽  
Implant Placement

ABSTRACT Soon after tooth extraction the bone resorption takes place reducing the height and width of alveolar ridge. This produces an altered morphology of the bone unfavorable for implant placement and implant placement becomes impossible without surgical correction. Socket grafting maintains and preserves ridge for implant placement. How to cite this article Mahesh L, Narayan TV, Bali P, Shukla S. Socket Preservation with Alloplast: Discussion and a Descriptive Case. J Contemp Dent Pract 2012;13(6):934-937.

Assessment of changes in the oral tactile function of the soft tissues by implant placement in the anterior maxilla: a prospective study

2009 ◽  
Vol 14 (2) ◽  
pp. 161-168 ◽  
Author(s):  
P. Habre-Hallage ◽  
N. Bou Abboud-Naman ◽  
H. Reychler ◽  
D. van Steenberghe ◽  
R. Jacobs
Keyword(s):  
Prospective Study ◽  
Soft Tissues ◽  
Anterior Maxilla ◽  
Implant Placement ◽  
A Prospective Study

scholarly journals Allograft and Collagen Membrane Augmentation Procedures Preserve the Bone Level around Implants after Immediate Placement and Restoration

2020 ◽  
Vol 17 (4) ◽  
pp. 1133 ◽  
Author(s):  
Roni Kolerman ◽  
Nayrouz Qahaz ◽  
Eitan Barnea ◽  
Eitan Mijiritsky ◽  
Liat Chaushu ◽  
...  
Keyword(s):  
Treatment Modality ◽  
Radiographic Evaluation ◽  
Collagen Membrane ◽  
Hard Tissue ◽  
Anterior Maxilla ◽  
Implant Placement ◽  
Freeze Dried ◽  
Bone Level ◽  
Immediate Implant

Background: Immediate implant placement and restoration (IPR), is a reliable treatment modality. Purpose: This historical prospective study evaluated the medium-term outcomes of hard tissue after IPR in the anterior maxilla with simultaneous hard tissue augmentation. Methods: Seventy-three patients treated with single-implant IPR in the anterior maxilla were followed for 1-8 years. Treatment involved, atraumatic extraction, immediate implant placement and abutment adaptation, followed by simultaneous augmentation with mineralized freeze-dried bone allograft (FDBA) particles to fill the gaps and restore the ridge. The surgical site was stabilized with a resorbable collagen membrane, followed by the connection of an acrylic provisional restoration. Results: All implants osseointegrated during the follow-up period (mean, 34 ± 22 months). Radiographic evaluation of the distance between the implant shoulder (IS) and crestal bone level (CBL) was of 0.86 ± 0.86 mm and 0.8 ± 0.84 mm mesially and distally, respectively. Splitting the results into up to 3 years and 3–8 years of follow-up data, the corresponding values were 0.90 ± 0.83 and 0.68 ± 0.88 for the mesial aspect and 0.99 ± 0.87and 0.74 ± 0.83 for the distal aspect, respectively. Mean peri-implant probing depth was 3.63 mm (SD ± 1.06) and 16 implants (22%) presented at least one bleeding pocket of ≥5 mm (peri implant mucositis). Conclusions: The immediate replacement of a single maxillary tooth by implants combined with guided bone regeneration is a predictable treatment modality with favorable peri-implant bony response.

scholarly journals Novel Use of Silicone Sheets for Immediate Implant Placement in Fresh Molar Extraction Sockets

2019 ◽  
Vol 2019 ◽  
pp. 1-8 ◽  
Author(s):  
Won-Pyo Lee ◽  
Jae-Heung Choi ◽  
Sang-Joun Yu ◽  
Byung-Ock Kim
Keyword(s):  
Soft Tissues ◽  
Treatment Approach ◽  
Extraction Socket ◽  
Coronally Advanced Flap ◽  
Implant Placement ◽  
Barrier Membrane ◽  
Immediate Placement ◽  
Immediate Implant ◽  
Silicone Sheet ◽  
Molar Extraction

In the recent years, the immediate placement of dental implants into fresh extraction sites has become an acceptable treatment approach. However, immediate molar implant placement presents specific challenges because of the anatomical and physiologic limitations. Such implant surgeries commonly require procedures that use a barrier membrane to generate bone and soft tissue or one that seals the molar extraction socket through a coronally advanced flap. Here, as an alternative, we report a method for treating molar extraction socket wounds in the hard and soft tissues after immediate placement of an implant using a silicone sheet.

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