scholarly journals Does the pre-operative buccal soft tissue level at teeth or gingival phenotype dictate the aesthetic outcome after flapless immediate implant placement and provisionalization? Analysis of a prospective clinical case series

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Edith Groenendijk ◽  
Ewald Maria Bronkhorst ◽  
Gert Jacobus Meijer
Keyword(s):  
Soft Tissue ◽  
Clinical Case ◽  
Case Series ◽  
Tissue Level ◽  
Series Data ◽  
Maxillary Incisor ◽  
Aesthetic Outcome ◽  
Implant Placement ◽  
Immediate Implant ◽  
Gingival Phenotype

Abstract Background Immediate implant placement (IIP) often is related to mid-buccal recession in literature. To draw conclusions about the behavior of the soft tissues following IIP, pre-operative aesthetic measurements have to be taken into account. The aim of analysis of these prospective clinical case series data was to elucidate whether the pre-operative buccal soft tissue level (STL) or gingival phenotype influence the 1-year pink aesthetic outcome after performing flapless immediate implant placement and provisionalization (FIIPP) maxillary incisor cases. Materials and methods In 97 patients, a maxillary incisor was replaced performing FIIPP. STL and phenotype were analyzed on light-photographs made pre-operatively (T0), direct post-operatively (T1), after placement of the permanent crown (T2), and 1 year post-operatively (T3). To investigate if a pre-operative buccal soft tissue deficiency or excess influenced the total pink esthetic score (total-PES) per patient at T3, PES-3 was modified by adding a minus (“−”) or plus (“+”) in case of a STL-deficiency or excess, respectively. Results Pre-operatively, 40% of the cases showed a mid-buccal recession (STL-deficiency), 19% STL-excess, while in 41% an equal level in comparison with the contra-lateral tooth was observed (STL-neutral). One year post-operatively, 79% (31/39) of the recession cases showed soft tissue gain, while STL-excess cases showed the highest rate of soft tissue reduction (94%; 17/18). This resulted in a decrease of soft tissue recessions and excesses (to 26% and 4%, respectively), and an increase of ideal STL (PES-3-score 2) to 70%. The 1-year aesthetic outcome was not statistically different (p = 0.577) between patients with a pre-operative soft tissue recession (mean T3 total-PES = 12.18) or STL excess (mean T3 total-PES = 11.94). Of the total population, 71 patients with a thin, and 26 with a thick phenotype were evaluated. No statistical difference (p = 0.08) was present in aesthetic outcome between the two phenotypes (thin mean T3 total-PES = 12.30, thick mean T3 total-PES = 11.65). Conclusion Regardless of phenotype, preoperative soft tissue recession, or excess, comparable high aesthetic outcomes were achieved 1 year post-operatively. Trial registration Ethical approval was obtained and registered on 20 October 2015 (NTR5583/NL4170).

scholarly journals A case series of profilometric changes in two implant placement protocols at periodontally compromised non-molar sites

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Kwantae Noh ◽  
Daniel S. Thoma ◽  
Jung-Chul Park ◽  
Dong-Woon Lee ◽  
Seung-Yun Shin ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Tooth Extraction ◽  
Case Series ◽  
Tissue Level ◽  
Ridge Preservation ◽  
Bone Augmentation ◽  
Implant Placement ◽  
Alveolar Ridge Preservation ◽  
Tissue Changes ◽  
Facial Area

AbstractInformation regarding profilometric changes at a soft tissue level following implant placement with different protocols is insufficient. Therefore, this study aimed to comparatively investigate the profilometric tissue changes with respect to late implant placement following alveolar ridge preservation (LP/ARP) and early implantation (EP) in periodontally compromised non-molar extraction sites. Sixteen patients were randomly assigned to the following groups: implant placement 4 months post-ARP (group LP/ARP) and tooth extraction and implant placement 4–8 weeks post-extraction (group EP). Dental impressions were obtained immediately after final prosthesis insertion and at 3, 6, and 12 months. At the time of implant placement, bone augmentation was performed in the majority of the patients. Profilometric changes of the tissue contour were minimal between the final prosthesis insertion and 12 months in the mid-facial area (0.04–0.35 mm in group LP/ARP, 0.04–0.19 mm in group EP). The overall tissue volume increased in both groups (1.70 mm3 in group LP/ARP, 0.96 mm3 in group EP). In conclusion, LP/ARP and EP led to similar stability of the peri-implant tissue contour between the final prosthesis insertion and at 12 months. Moreover, the change of peri-implant tissue on the soft tissue level was minimal in both modalities.

scholarly journals Changes in Hard and Soft Tissue During the First 6 Months After Immediate Implant Placement and Provisionalization of a Single Anterior Maxillary Incisor: A Prospective Cohort Study

2021 ◽  
Author(s):  
Donghao Wei ◽  
Xi Jiang ◽  
Ping Di ◽  
Jiehua Tian ◽  
Ye Lin
Keyword(s):  
Soft Tissue ◽  
Tooth Extraction ◽  
Three Dimensional ◽  
Maxillary Incisor ◽  
Strong Correlations ◽  
Hard Tissue ◽  
Implant Placement ◽  
Soft Tissue Thickness ◽  
Immediate Implant ◽  
Contour Change

Abstract Background: To evaluate changes in hard and soft tissue during the first 6 months after immediate implant placement and provisionalization (IIPP) of a single maxillary incisor.Methods: Failed maxillary incisors were replaced with IIP implants in 34 patients. Intraoral scans and cone beam computed tomography (CBCT) were performed before and 6 months after IIPP. Changes in soft tissue thickness, soft tissue contour, and hard tissue contour were measured by a three-dimensional superimposition method. The correlations of hard and soft tissue contour changes were assessed.Results: A total of 31 patients completed the study. Soft tissue contour tended to collapse after 6 months. Soft tissue was significantly thickened 1–3 mm below the gingival margin. Correlation analysis showed strong correlations between the hard and soft tissue contour changes at 0–5 mm apical to the implant platform. The mid-facial recession at 6 months was −0.46 ± 0.55 mm.Conclusions: Soft tissue contour collapsed after tooth extraction, regardless of IIPP. Both soft and hard tissue change affected the soft tissue contour change.

scholarly journals Flapless Immediate Implant Placement and Provisionalization (FIIPP) in the Aesthetic Region: Surgical Protocol of a Prospective Clinical Cohort Study on 100 Patients – Two Case Reports: Intact Socket, and Defect Socket with a Thin Gingival Phenotype

2021 ◽  
pp. 1-5
Author(s):  
Edith Groenendijk ◽  
Edith Groenendijk ◽  
Gert Jacobus Meijer
Keyword(s):  
Cohort Study ◽  
Bone Defect ◽  
Case Reports ◽  
Treatment Method ◽  
Aesthetic Outcome ◽  
Clinical Cohort ◽  
Implant Placement ◽  
Immediate Implant ◽  
The Aesthetic ◽  
Gingival Phenotype

Background: Immediate implant placement and provisionalization (IIPP) is considered as a high-risk treatment for aesthetic failure and generally only recommended in case of post-extraction intact sockets and a thick phenotype gingiva. During a prospective clinical cohort study on one-hundred consecutive patients, using this strict flapless immediate implant placement and provisionalization (FIIPP) protocol, we found high and stable aesthetic outcomes (WES/PES = 8.2/12.1) in both intact – and defect sockets, and both thin- as thick gingival phenotype. By means of one case report (Case 1), the total FIIPP treatment is illustrated. Results of two other cases, show that comparable high aesthetic outcomes can be reached in cases with a thin phenotype gingiva or buccal bone defect using the same protocol. Case Presentation: In a 24-year-old male with good general and oral health, root fracture of tooth 21 was diagnosed and FIIPP was indicated. Direct post-extraction, an implant was placed in a palatal position of an intact socket by a flapless approach. A minimum space of 2 mm in front of the implant was created and filled with a bone-substitute prior to implant placement. Subsequently, the implant was restored by use of a titanium abutment and a composite temporary crown. Three months later, the temporary crown was replaced by a customized zirconium abutment and ceramic crown resulting in a high aesthetic outcome. A comparable aesthetic outcome using this protocol can be reached in cases with a thin phenotype gingiva and/or a buccal bone defect (Case 2). Conclusion: Using described surgical FIIPP protocol, high aesthetic outcomes are reached in only 4 visits and within a treatment period of 4 months. A thin phenotype gingiva, or a pre-operative buccal bone defect, does not seem to affect the aesthetic outcome using this treatment method.

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

Immediate Implant Placement into Extraction Sockets with Labial Plate Dehiscence Defects: A Clinical Case Series

2015 ◽  
Vol 18 (4) ◽  
pp. 821-829 ◽  
Author(s):  
Guido O. Sarnachiaro ◽  
Stephen J. Chu ◽  
Evangelina Sarnachiaro ◽  
Sergio Luis Gotta ◽  
Dennis P. Tarnow
Keyword(s):  
Clinical Case ◽  
Case Series ◽  
Implant Placement ◽  
Immediate Implant

Guidelines for Selecting the Implant Diameter During Immediate Implant Placement of a Fresh Extraction Socket: A Case Series

2016 ◽  
Vol 36 (3) ◽  
pp. 401-407 ◽  
Author(s):  
Ariádene Pértile de Oliveira Rosa ◽  
José Martins da Rosa ◽  
Luís Pereira ◽  
Carlos Francischone ◽  
Bruno Sotto-Maior
Keyword(s):  
Case Series ◽  
Extraction Socket ◽  
Implant Placement ◽  
Immediate Implant

scholarly journals Immediate Implant Placement: Report of Case Series

2015 ◽  
Vol 19 (2) ◽  
pp. 113-115
Author(s):  
M. Koray ◽  
I. Ozcan ◽  
B. Alkan ◽  
O. Kesmez ◽  
H. Tanyeri
Keyword(s):  
Tooth Extraction ◽  
Alveolar Bone ◽  
Treatment Time ◽  
Case Series ◽  
Surgical Interventions ◽  
3 Dimensional ◽  
Implant Positioning ◽  
Implant Placement ◽  
Immediate Placement ◽  
Immediate Implant

SUMMARYObjective: The aim of this study was to evaluate the outcome of immediate postextraction implant placement. Immediate placement of dental implants have been claimed of the potential advantages such as reductions in the number of surgical interventions, a shorter treatment time, an ideal 3-dimensional implant positioning, the presumptive preservation of alveolar bone at the site of the tooth extraction and soft tissue aesthetics.Method: In this case series we reported to extract 15 teeth in 12 patients (8 males; 4 females, mean age: 46.08 years) and replace the teeth with implants immediately.Results: There were no signs of inflammation or infection and none of the patients had complaints subsequently. All implants were osseointegrated at the time of abutment connection. Postoperative healing was uneventful in all of the patients. No complications were observed.Conclusion: Within the limits of the present study, immediate implant placement was a predictable treatment.

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