Immediate Placement of Dental Implants Into Fresh Extraction Socket in the Maxillary Anterior Region: A Case Report

2010 ◽  
Vol 36 (2) ◽  
pp. 153-157 ◽  
Author(s):  
Jun-Beom Park

Abstract The loss of the buccal alveolar plate following tooth extraction in the maxillary anterior may lead to palatal implant positioning with esthetic complications. Immediate placement of dental implants has been suggested because it may preclude dramatic postextraction bone loss. In this report, the harmony of soft and hard tissue was achieved by immediate implant placement with bone augmentation in an esthetically challenging situation.

2015 ◽  
Vol 19 (2) ◽  
pp. 113-115
Author(s):  
M. Koray ◽  
I. Ozcan ◽  
B. Alkan ◽  
O. Kesmez ◽  
H. Tanyeri

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.


2013 ◽  
Vol 01 (01) ◽  
pp. 046-048
Author(s):  
Ashutosh Nirola ◽  
Shallu Bhardwat

AbstractEdentulism is most often the result of repeated tooth extraction from combined pathological process and/or dental trauma. Dental implants have emerged to be a highly successful and predictable treatment modality for replacement of missing teeth. Dental implants are the devices that are surgically inserted into the jaw bone to support a single prosthetic tooth and serve as abutments or as cosmetic replacements for missing teeth. Timing of implant placement following tooth removal may be important and this concept has challenged the original treatment protocol. This article aims to present two case reports of immediate placement of implant.


2021 ◽  
Author(s):  
Donghao Wei ◽  
Xi Jiang ◽  
Ping Di ◽  
Jiehua Tian ◽  
Ye Lin

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.


2018 ◽  
Vol 8 (6) ◽  
pp. 196-202
Author(s):  
Phuc Ngo Vinh ◽  
Tai Tran Tan ◽  
Duong Huynh Van

Background: The concept of immediate implant loading has recently become popular due to less trauma, reduction in overall treatment time, decrease in hard and soft tissue resorption, increase in patient’s acceptance, along with better function, aesthetics and has a psychological satisfaction to the patient. The purpose of this study is to evaluate the results of implant placement immediately after tooth extraction. Materials and method: The study consisted of 32 patients with 43 implants have been placed immediately after tooth extraction in the Odonto-Maxillo-Facial Hospital of Ho Chi Minh City. Evaluation results after dental implants 1 week, 1 month, 3 months, 6 months. Results: Good clinical results after 1 week was 55.8%, after 3 months and 6 months were 100%. After 1 week of implant placement, good healing took 59.4%. After 1 month, 3 months and 6 months, 100% of the patients are well healed. After 3 months, 6 months without any implant has the status of shaky. Most dental implants have good levels of bone graft. The level of good after 3 months of implants was 72.1% and after 6 months all cases are good. The success rate for dental implants was up to 97.7%, failing only 2.3%. After 3 months the implants had a good level of 72.1% and after 6 months, all cases were good. Patients with success in implant placement accounted for a high rate of 97.7%, failure only accounted for 2.3%. Conclusions: Success rate in immediate implant is high. It is necessary to develop this method to restore lost teeth to achieve optimum results. Key words: Dental implant, immediate implant after tooth extraction


2020 ◽  
Vol 9 (8) ◽  
pp. 2504
Author(s):  
André Hattingh ◽  
Hugo De Bruyn ◽  
Manù Van Weehaeghe ◽  
Geert Hommez ◽  
Stefan Vandeweghe

The aim was to evaluate ridge reduction and mucosal recession following immediate placement of ultra-wide implants in molar sockets, without bone grafting. Impressions were taken prior to tooth extraction, 4 months and 1 year after implant placement. The casts were digitized and compared. Mucosal recessions and horizontal ridge reduction were measured. A total of 16 implants were in the maxilla and 11 in the mandible. At the buccal aspect, there was a mean reduction of 0.94 mm after 4 months and 0.89 mm after one year (p = 0.933). At the palatal/lingual aspect, this was 1.09 mm after 4 months and 0.69 mm after 1 year (p = 0.001). After 1 year, a recession of 0.59 mm was measured at the zenith, 1.04 mm at the mesial and 0.98 mm at the distal papilla. The mean midfacial horizontal ridge reduction was 1.23 mm after 4 months and 1.45 mm after 1 year. At the midpalatal/midlingual aspect, the mean horizontal reduction was 1.43 mm after 4 months and 1.16 mm after 1 year. Immediate implant placement without bone grafting in the posterior jaw yields a significant horizontal ridge reduction and minor mucosal recession. Clinicians should anticipate the amount of ridge reduction and consider augmentation at the time of implant placement.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Kwantae Noh ◽  
Daniel S. Thoma ◽  
Jung-Chul Park ◽  
Dong-Woon Lee ◽  
Seung-Yun Shin ◽  
...  

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.


2020 ◽  
Vol 11 (2) ◽  
pp. 167-173 ◽  
Author(s):  
Ashish Kakar ◽  
Kanupriya Kakar ◽  
Minas D. Leventis ◽  
Gaurav Jain

Introduction: Immediate placement of implants in a fresh post-extraction socket is an increasingly popular and established treatment option. However, active infection in the extraction site may adversely affect the outcome of this procedure. This study was designed to assess the clinical results of immediate placement of dental implants in infected extraction sockets using a standardized protocol, which included (a) the use of an Er,Cr:YSGG laser for the decontamination of the infected socket prior to implant insertion, and (b) the utilization of an in situ hardening alloplastic bone graft substitute to augment the gap between the implant surface and the labial plate of bone. Patients and Methods: A retrospective record review was used to identify 68 patients who had implants placed as per the described protocol. A total of 126 implants were placed in 68 patients (65 implants in the maxilla, 61 implants in the mandible). The implants were loaded 136 ± 73 days (mean ± standard deviation; range: 37–400 days) after implant placement. Eight patients (16 implants) were subsequently lost to follow up. Results: 105 of the 110 implants (95.45%) placed immediately in the infected sites using the described protocol survived after prosthetic loading. Conclusion: Immediate implant placement in previously infected sites using the protocols mentioned in our study with laser decontamination of the socket, grafting with an in situ hardening alloplastic bone graft material and non-submerged healing shows a similar survival rate to the published success rates for immediate implants placed in non-infected sites.


2020 ◽  
Vol 99 (4) ◽  
pp. 402-409 ◽  
Author(s):  
G. Avila-Ortiz ◽  
M. Gubler ◽  
M. Romero-Bustillos ◽  
C.L. Nicholas ◽  
M.B. Zimmerman ◽  
...  

Alveolar ridge preservation (ARP) therapy is indicated to attenuate the physiologic resorptive events that occur as a consequence of tooth extraction with the purpose of facilitating tooth replacement therapy. This randomized controlled trial was primarily aimed at testing the efficacy of ARP as compared with unassisted socket healing. A secondary objective was to evaluate the effect that local phenotypic factors play in the volumetric reduction of the alveolar bone. A total of 53 subjects completed the study. Subjects were randomized into either the control group, which involved only tooth extraction (EXT n = 27), or the experimental group, which received ARP using a combination of socket grafting with a particulate bone allograft and socket sealing with a nonabsorbable membrane (dPTFE) following tooth extraction (ARP n = 26). A set of clinical, linear, volumetric, implant-related, and patient-reported outcomes were assessed during a 14-wk healing period. All linear bone assessments (horizontal, midbuccal, and midlingual reduction) revealed that ARP is superior to EXT. Likewise, volumetric bone resorption was significantly higher in the control group (mean ± SD: EXT = −15.83% ± 4.48%, ARP = −8.36% ± 3.81%, P < 0.0001). Linear regression analyses revealed that baseline buccal bone thickness is a strong predictor of alveolar bone resorption in both groups. Interestingly, no significant differences in terms of soft tissue contour change were observed between groups. Additional bone augmentation to facilitate implant placement in a prosthetically acceptable position was deemed necessary in 48.1% of the EXT sites and only 11.5% of the ARP sites ( P < 0.004). Assessment of perceived postoperative discomfort at each follow-up visit revealed a progressive decrease over time, which was comparable between groups. Although some extent of alveolar ridge remodeling occurred in both groups, ARP therapy was superior to EXT as it was more efficacious in the maintenance of alveolar bone and reduced the estimated need for additional bone augmentation at the time of implant placement (ClinicalTrials.gov NCT01794806).


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