Preserving the Socket Dimensions With Bone Grafting in Single Sites: An Esthetic Surgical Approach When Planning Delayed Implant Placement

2007 ◽  
Vol 33 (3) ◽  
pp. 156-163 ◽  
Author(s):  
Tassos Irinakis ◽  
Moe Tabesh
Keyword(s):  
Bone Grafting ◽  
Surgical Techniques ◽  
Extraction Socket ◽  
Socket Preservation ◽  
Barrier Membranes ◽  
Implant Placement ◽  
Immediate Implant ◽  
Implant Dentistry ◽  
And Function ◽  
Delayed Implant Placement

Abstract Recent advancements in barrier membranes, bone grafting substitutes, and surgical techniques have led to a predictable arsenal of treatment methods for clinicians who practice implant dentistry. The contemporary clinician is supplied with proven knowledge, substantiated materials, and instrument inventory that allows implant placement in cases that used to be reserved for the specialist in the past because of their complexity. Nowadays, postextraction alveolar ridge maintenance can be a predictable procedure and can certainly aid the clinician in preventing ridge collapse, thereby allowing for implant placement in a position that satisfies esthetics and function. Extraction socket maintenance for future implant therapy does not rule out immediate implant placement but rather provides an additional option when treatment planning implant patients. This article will focus on the concept of extraction socket preservation using regenerative materials. It will describe a technique suggested by the authors to resist bone resorption and soft tissue shrinkage following tooth extraction.

scholarly journals Immediate Implant Placement with Simultaneous Regenerative Procedure in Fresh Extraction Socket

2017 ◽  
Vol 8 (3) ◽  
pp. 231-238
Author(s):  
Rafael S de Molon
Keyword(s):  
Surgical Techniques ◽  
Bone Volume ◽  
Bone Plate ◽  
Careful Examination ◽  
Comprehensive Treatment ◽  
Safe Procedure ◽  
Central Incisor ◽  
Extraction Socket ◽  
Implant Placement ◽  
Immediate Implant

ABSTRACT Aim The aim of this case report was to reconstruct the alveolar buccal bone plate lost in consequence of a root fracture in the maxillary central incisor area after immediate implant placement (IIP). A 48-year-old patient was referred to our office with the chief complaint of spontaneous bleeding in his left central incisor. After careful examination, the following comprehensive treatment approach was carried out: (1) Atraumatic tooth extraction, (2) IIP, (3) provisional prosthesis installation, (4) alveolar buccal bone plate reconstruction with autologous bone collected from the maxillary tuberosity, (5) gingival augmentation procedure with connective tissue graft removed from the palate, and finally (6) adjustment of the provisional restoration. After 1-year postoperative, an adequate esthetic outcome was achieved with lower cost, reduced morbidity to the patient, and lower treatment time. This approach was able to improve gingival architecture and bone volume with adequate thickness and width, enhancing patient esthetics and satisfaction. In conclusion, when proper diagnosis, precise surgical techniques, and appropriate multidisciplinary approach are employed, IIP followed by immediate dentoalveolar restoration might be considered a safe procedure to restore the peri-implant bone and gingival recession favoring the achievement of appropriate esthetic outcomes. Clinical significance The treatment planning employed was able to improve gingival architecture and bone volume with sufficient width and thickness enhancing patient esthetics and satisfaction in one single-stage procedure. How to cite this article de Molon RS, de Avila ED, Barros- Filho LAB, Cirelli JA, Borelli-Barros LA. Immediate Implant Placement with Simultaneous Regenerative Procedure in Fresh Extraction Socket. World J Dent 2017;8(3):231-238.

Socket preservation using xenograft does not impair implant primary stability in sheep: clinical, histological and histomorphometric study

2020 ◽  
Author(s):  
Yaniv Mayer ◽  
Ofir Ginesin ◽  
Hadar Zigdon-Giladi
Keyword(s):  
Bone Biopsy ◽  
Primary Stability ◽  
Insertion Torque ◽  
Socket Preservation ◽  
Histomorphometric Study ◽  
Implant Placement ◽  
High Bone ◽  
Delayed Implant Placement ◽  
Natural Healing

Implant primary stability, which depends mainly on the amount and quality of bone, is important for implant survival. Socket preservation aims to reduce bone volumetric changes following tooth extraction. This animal study aims to examine whether preserving a ridge by using xenograft impairs the primary stability of the implant. Eighteen artificial bone defects were prepared in four sheep (5mmØ and 8mm length).  Defects were randomly grafted with xenografts: Bio-Oss (BO), Bioactive Bone (BB), or left for natural healing (control). After 8 weeks, bone biopsy was harvested and dental implants installed. During installation, peak insertion torque (IT) was measured by hand ratchet, and primary stability by the Osstell method. Histomorphometric analysis showed a higher percentage of new bone formation in the naturally healed defects compared to sites with xenograft (control 68.66 ± 4.5%, BB 48.75 ± 4.34%, BO 50.33 ± 4.0%). Connective tissue portion was higher in the BO and BB groups compared to control (44.25 ± 2.98%, 41 ± 6%, and 31.33 ± 4.5, p<0.05, respectively). Residual grafting material was similar in BO and BB (7 ± 2.44%, 8.66 ± 2.1 %, respectively). Mean IT and ISQ values were not statistically different among the groups. A positive correlation was found between IT and ISQ (r=0.65, p=0.00). In conclusion, previously grafted defects with xenograft did not influence primary stability and implant insertion torque in delayed implant placement. These results may be attributed to a relatively high bone fill of the defect (~50%) two months after grafting.

Aesthetic rehabilitation with immediate implant placement in anterior maxilla after traumatic avulsive injury. A case report

2021 ◽  
Author(s):  
Fahad Umer ◽  
Saqib Habib
Keyword(s):  
Case Report ◽  
Cortical Plate ◽  
Radiographic Examination ◽  
Incisor Tooth ◽  
Anterior Maxilla ◽  
Implant Placement ◽  
Immediate Implant ◽  
And Function ◽  
Variable Clinical Presentation

Traumatic oral injuries present their own unique restorative challenges to the clinician due to their variable clinical presentation. In such cases, achieving optimum aesthetics and function in the maxillary aesthetic zone is challenging. This case report describes the rehabilitation of a patient with immediate implant placement after suffering trauma to the oral cavity resulting in a complete loss (avulsion) of a permanent central incisor tooth. In order to preserve the existing soft and hard tissue and to achieve predictable and aesthetically pleasing results, we decided to place an immediate implant as opposed to replantation of the avulsed tooth. Flapless implant surgery was planned and a dental implant (Bio horizons Implant Systems, Inc.) was placed following non-submerged protocol. At six month’s follow-up, the clinical and radiographic examination revealed a well osseo-integrated implant with an intact buccal cortical plate. Continuous...

scholarly journals Implant Therapy in the Esthetic Zone-Surgical Considerations

2016 ◽  
Vol 20 (2) ◽  
pp. 83-88 ◽  
Author(s):  
Aleksa Marković ◽  
T. Mišić
Keyword(s):  
Treatment Time ◽  
Implant Positioning ◽  
Implant Placement ◽  
Individual Assessment ◽  
Complex Procedure ◽  
Immediate Implant ◽  
Implant Therapy ◽  
And Function ◽  
Selection Of

Summary Implant placement in the esthetic zone is a complex procedure and requires a restoration-driven approach. Proper selection of patients and implant together with individual assessment of the risk of esthetic complications are very important. Correct 3D-implant positioning and sufficient bone volume should provide long-term esthetic and function. Esthetic region is a zone in which expectations and possibilities collide. Clinician should bring the important decision on the appropriate time of implant placement. Immediate implant placement is particularly challenging in the esthetic zone. Patient desire for reduced treatment time should be weighed against the possible risk factors. Protocol of immediate implant placement in conditions of unfavourable gingival biotypes, the lack of bone or soft tissue in patients with a high smile line lead to esthetic failure which is very important in the esthetic region.

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

Fresh extraction socket: spontaneous healing vs. immediate implant placement

2014 ◽  
Vol 26 (11) ◽  
pp. 1250-1255 ◽  
Author(s):  
Nicola Discepoli ◽  
Fabio Vignoletti ◽  
Luigi Laino ◽  
Massimo de Sanctis ◽  
Fernando Muñoz ◽  
...  
Keyword(s):  
Spontaneous Healing ◽  
Extraction Socket ◽  
Implant Placement ◽  
Immediate Implant

Immediate Implant Placement in Fresh Extraction Socket

2016 ◽  
Vol 28 (4) ◽  
pp. 103-110
Author(s):  
Mohammed Majid Abdulmunem ◽  
Jamal Abid Mohammed
Keyword(s):  
Extraction Socket ◽  
Implant Placement ◽  
Immediate Implant
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