Flapless Postextraction Socket Implant Placement, Part 3: The Effects of Bone Grafting and Provisional Restoration on Soft Tissue Color Change—A Retrospective Pilot Study

2018 ◽  
Vol 38 (4) ◽  
pp. 509-516 ◽  
Author(s):  
Stephen Chu ◽  
Hanae Saito ◽  
Maurice Salama ◽  
David Garber ◽  
Henry Salama ◽  
...  
Keyword(s):  
Pilot Study ◽  
Soft Tissue ◽  
Bone Grafting ◽  
Color Change ◽  
Implant Placement ◽  
Provisional Restoration

Flapless Postextraction Socket Implant Placement, Part 2: The Effects of Bone Grafting and Provisional Restoration on Peri-implant Soft Tissue Height and Thickness— A Retrospective Study

2015 ◽  
Vol 35 (6) ◽  
pp. 803-809 ◽  
Author(s):  
Stephen Chu ◽  
Maurice Salama ◽  
David Garber ◽  
Henry Salama ◽  
Guido Sarnachiaro ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Soft Tissue ◽  
Bone Grafting ◽  
Implant Placement ◽  
Provisional Restoration

Augmentation in Two Stages of Atrophic Alveolar Bone Prior to Dental Rehabilitation: A Case Report

2007 ◽  
Vol 8 (6) ◽  
pp. 57-63 ◽  
Author(s):  
Ahmed A. Zahrani
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Bone Graft ◽  
Bone Grafting ◽  
Alveolar Bone ◽  
Alveolar Ridge ◽  
Implant Placement ◽  
Anterior Teeth ◽  
Dental Rehabilitation ◽  
Two Stages

Abstract Aim The aim of this report is to describe a significantly deficient case of alveolar bone that was managed by alveolar bone augmentation using a technique of distraction osteogensis and onlay bone grafting prior to dental implant placement. Background Injury to the teeth and alveolar ridge of the maxillary anterior region can cause a severe alveolar ridge deficiency resulting in ridge atrophy and maxillary retrognathism. The loss of these teeth and alveolar bone together with fibrotic scar formation can result in adverse changes of the interarch space, occlusal plane, arch relationship, and arch form which complicates rehabilitation and can compromise the esthetic outcome. While implant dentistry has become a new paradigm in oral reconstruction and replacement of missing teeth, ideal implant positioning can be compromised by inadequate alveolar bone in terms of bone height, width, and quality of the bone itself. Correction of osseous deficiencies with ridge augmentation allows ideal implant placement and creates a more natural soft tissue profile which influences crown anatomy and esthetics. Report A 20-year-old female presented with a complaint of poor esthetics resulting from oral injuries incurred in a traffic accident six years previously. In addition to a mandibular parasymphyseal fracture, five maxillary anterior teeth and the most of the alveolar ridge were lost. Clinical examination revealed severe loss of bone in the maxillary anterior region, an absence of a labial sulcus, loss of upper lip support, and a slight over eruption of the mandibular anterior teeth. In preparation for dental implants a distraction osteogenesis surgical procedure was done to lengthen the height of the alveolar ridge. After a three-month healing period, the width of the residual ridge was found to be insufficient for implant placement. To correct this deficiency, a bone graft of a cortiocancellous block was harvested from the chin and fixed to the labial aspect of the ridge. To facilitate revascularization, small perforations were made in the cortical bone of the alveolar ridge at the recipient site before cancellous bone retrieved from the donor site was gently placed between the bone block and the ridge. The patient was then appropriately medicated and healing was uneventful. After three months, the width of the residual ridge was assessed to be adequate for endosseous implants. Summary The clinical result reported here has shown several procedures may be necessary for the rehabilitation of a trauma patient. Distraction osteogenesis per se may not always satisfactorily improve the anatomical alveolar anatomy but it has advantages over other methods of augmentation. It can improve the height and also expand the soft tissue for further bone grafting. Augmentation of the alveolar bone with an onlay bone graft often provides the desired gain of bone, allows for the ideal placement of dental implants, and improves any discrepancy between the upper and lower arches. Citation Zahrani AA. Augmentation in Two Stages of Atrophic Alveolar Bone Prior to Dental Rehabilitation: A Case Report. J Contemp Dent Pract 2007 September;(8)6:057-063.

scholarly journals Bone grafting history affects soft tissue healing following implant placement

2020 ◽  
Author(s):  
Vrisiis Kofina ◽  
Mutlu Demirer ◽  
Barbaros S. Erdal ◽  
Timothy D. Eubank ◽  
Vedat O. Yildiz ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Bone Grafting ◽  
Soft Tissue Healing ◽  
Implant Placement ◽  
Tissue Healing

scholarly journals Gingival recession behavior with immediate implant placement in the anterior maxilla with buccal dehiscence without additional augmentation—a pilot study

2020 ◽  
Vol 24 (4) ◽  
pp. 1455-1464
Author(s):  
Veronika Pohl ◽  
Lukas Fürhauser ◽  
Robert Haas ◽  
Sebastian Pohl
Keyword(s):  
Pilot Study ◽  
Soft Tissue ◽  
Alveolar Bone ◽  
Clinical Results ◽  
Tissue Level ◽  
Anterior Maxilla ◽  
Implant Placement ◽  
Significant Difference ◽  
Immediate Implant ◽  
Observation Period

Abstract Background Immediate implant placement in the presence of intact extraction alveoli has frequently been reported, while hardly any reports on immediate implant placement in missing buccal bone can be found in literature. Objectives This pilot study evaluates esthetic outcome and soft and hard tissue level changes of immediate implant placement with immediate provisionalization in patients with partially/completely missing buccal bone without any further augmentation procedure in the maxillary anterior zone. Material and methods Twelve patients (TG) with partially to completely missing buccal bone designated for extraction and flapless immediate implant insertion in the anterior zone of the maxilla were included. Patients randomly selected out of a larger group of patients with immediate implants with intact alveoli served as controls (CG). Immediate provisionalization was done without any further augmentation of the alveolar ridge. Marginal hard and soft tissue levels, PES, and implant success were evaluated during a 1-year observation period. Results The defect of the buccal alveolar bone was 4.96 mm (min., 2.26 mm; max., 9.68 mm) and the mean mesio-distal extension 4.25 mm (min., 3.2 mm; max., 5.91 mm). Preoperative PES differed significantly between TG (9.68) and CG (12.25) and improved in TG postoperatively with no significant difference to CG after 1 year (TG, 10.91; CG, 11.3). The buccal soft tissue level remained almost unchanged over the observation period (TG preop, 0.86 mm ± 0.90 mm; 1 year, 0.91 mm ± 0.96 mm; CG preop, 0.98 mm ± 0.87 mm; 1 year, 0.98 mm ± 0.87 mm and did not show any correlation with either the mesial/distal bone level or the initial buccal vertical defect at any point of time. Conclusions These clinical results provide evidence that immediate implant placement without additional augmentation, but with immediate provisionalization might be a viable treatment alternative even with missing buccal plate in the esthetic maxillary zone.

scholarly journals Volumetric changes in the buccal contour after immediate implant placement and provisional restoration together with a soft tissue substitute. A prospective case series

2018 ◽  
Vol 29 ◽  
pp. 62-62
Author(s):  
Eduardo Montero ◽  
Ignacio Sanz-Martín ◽  
Ignacio Sánz Sanchez ◽  
Carolina Encalada ◽  
Javier Aracil ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Case Series ◽  
Implant Placement ◽  
Immediate Implant ◽  
Prospective Case Series ◽  
Provisional Restoration
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