Implant Installation With Simultaneous Ridge Augmentation. Report of Three Cases

2011 ◽  
Vol 37 (5) ◽  
pp. 595-603 ◽  
Author(s):  
Jun-Beom Park
Keyword(s):  
Dental Implants ◽  
Alveolar Bone ◽  
Treatment Time ◽  
Clinical Results ◽  
Graft Material ◽  
Ridge Augmentation ◽  
Dental Implantation ◽  
Probing Depth ◽  
Staged Approach ◽  
Adequate Quantity

The anatomic limitations of the residual alveolar bone may cause problems for the insertion of dental implants because implant placement requires an adequate quantity and quality of bone. Ridge augmentation has been performed to reconstruct alveolar ridges as support for the placement of dental implants with a high success rate. However, a staged approach requires multiple surgeries and more treatment time. In this report, the patients were treated with dental implantation with simultaneous ridge augmentation in both submerged and nonsubmerged cases. The prostheses were well in function without any probing depth or gingival inflammation up to final evaluation. It may be suggested that dental implantation with simultaneous bone grafting may be an option when the graft material can be well stabilized around the implants. Further evaluations over long periods of time are needed to monitor the clinical results.

scholarly journals Clinical, Radiographic, and Histomorphometric Evaluation of a Vertical Ridge Augmentation Procedure Using a Titanium-Reinforced Microporous Expanded Polytetrafluoroethylene Emrane: A Prospective Case Series with 1-Year Follow-Up

Materials ◽  
2021 ◽  
Vol 14 (14) ◽  
pp. 3828
Author(s):  
Jung-Gu Ji ◽  
Jung-A Yu ◽  
Seong-Ho Choi ◽  
Dong-Woon Lee
Keyword(s):  
Case Series ◽  
Graft Material ◽  
Ridge Augmentation ◽  
Expanded Polytetrafluoroethylene ◽  
Implant Placement ◽  
Significant Difference ◽  
Staged Approach ◽  
Height Change ◽  
Prospective Case Series ◽  
Augmentation Procedure

Vertical ridge augmentation for long-term implant stability is difficult in severely resorbed areas. We examined the clinical, radiological, and histological outcomes of guided-bone regeneration using novel titanium-reinforced microporous expanded polytetrafluoroethylene (MP-ePTFE) membranes. Eighteen patients who underwent implant placement using a staged approach were enrolled (period: 2018–2019). Vertical ridge augmentation was performed in areas with vertical bone defects ≥ 4 mm. Twenty-six implant fixtures were placed in 14 patients. At implant placement six fixtures had relatively low stability. On cone-beam computed tomography, the average vertical changes were 4.2 ± 1.9 (buccal), 5.9 ± 2.7 (central), and 4.4 ± 2.8 mm (lingual) at six months after vertical ridge augmentation. Histomorphometric analyses revealed that the average proportions of new bone, residual bone substitute material, and soft tissue were 34.91 ± 11.61%, 7.16 ± 2.74%, and 57.93 ± 11.09%, respectively. Stable marginal bone levels were observed at 1-year post-loading. The residual bone graft material area was significantly lower in the exposed group (p = 0.003). There was no significant difference in the vertical height change in the buccal side between immediately after the augmentation procedure and the implant placement reentry time (p = 0.371). However, all implants functioned well regardless of the exposure during the observation period. Thus, vertical ridge augmentation around implants using titanium-reinforced MP-ePTFE membranes can be successful.

One-stage Vertical Ridge Augmentation and Dental Implantation with Allograft Bonerings: Results 1 Year After Surgery

2019 ◽  
Vol 45 (6) ◽  
pp. 457-463 ◽  
Author(s):  
Thomas Nord ◽  
Orcan Yüksel ◽  
Wolf-Dieter Grimm ◽  
Bernd Giesenhagen
Keyword(s):  
Success Rate ◽  
Dental Implants ◽  
Shrinkage Rate ◽  
Outer Diameter ◽  
Average Height ◽  
Alveolar Ridge ◽  
Native Bone ◽  
Ridge Augmentation ◽  
Dental Implantation ◽  
Graft Shrinkage

The aim of this study was to analyze the success rate of dental implants and the graft shrinkage rate after vertical ridge augmentation and simultaneous implantation with an allograft bonering. Fifty-one patients (81 augmentations and simultaneous implantations) were included. The bonering technique followed a standardized protocol. The alveolar ridge was prepared using a congruent trephine, and depending on the defect size, an allograft bonering with an outer diameter of 6–7 mm was placed. The height of the bonering was trimmed with a diamond disc to the required length. The average height of vertical augmentation was 5.5 mm. Implants were inserted through the bonering into the native bone of alveolar ridge. After 6 months, dental implants were exposed, and dental prosthetics were placed. Of 81 implants placed with the bonering technique, two failed during a 12-month follow-up, corresponding to a success rate of 97.5%. One year after surgery, the allograft bonering exhibited an average vertical graft shrinkage rate of 8.6%. In conclusion, the allograft bonering technique was associated with a favorable outcome, and in cases with large vertical defects, both treatment time and donor site morbidity could be reduced.

A Modified Crestal Ridge Expansion Technique for Immediate Placement of Implants: A Report of Three Cases

2008 ◽  
Vol 34 (6) ◽  
pp. 319-324 ◽  
Author(s):  
Mario Santagata ◽  
Luigi Guariniello ◽  
Alfredo D'Andrea ◽  
Gianpaolo Tartaro
Keyword(s):  
Dental Implants ◽  
Treatment Time ◽  
Oral Rehabilitation ◽  
Ridge Augmentation ◽  
Receptor Sites ◽  
Patient Morbidity ◽  
Immediate Placement ◽  
Expansion Technique ◽  
Edentulous Jaws

Abstract Atrophic edentulous jaws can pose a significant challenge to successful oral rehabilitation with endosseous dental implants. Although ridge augmentation can help to restore ridge volume, grafting procedures can significantly increase patient morbidity, costs, and treatment time, depending on the case, before dental implants can be placed. This article reports on an alternative technique used in 3 patients to expand ridge volume and place dental implants in a single procedure. A partial-thickness flap was elevated to expose the alveolar crest, and conventional implant osteotomies were partially prepared. Along the crest of the ridge, a furrow with terminal vertical releases 1 to 3 mm deep were created, and a bone chisel was used to deepen the furrow. Osteotomes were used to complete preparation of the implant receptor sites, and the implants were placed. Bony plates were stabilized through the use of resorbable sutures. Furrows more than 2 mm deep between the plates were augmented with a xenograft. Collegen membranes were placed over the sites, and soft tissue was sutured. Healing was unremarkable, and all implants were successfully restored. For these patients, the ridge expansion technique resulted in substantial bone reconstruction with little or no grafting. Long-term, prospective studies on this procedure are required before definitive conclusions can be drawn.

scholarly journals Features of substitution of defects of tooth rows in persons with periodontal tissue diseases of different severity

2021 ◽  
Vol 105 (1) ◽  
pp. 82-87
Author(s):  
O. Doroshenko ◽  
◽  
O. Bida ◽  
Keyword(s):  
Periodontal Disease ◽  
Bone Tissue ◽  
Dental Implants ◽  
Alveolar Bone ◽  
Periodontal Diseases ◽  
Pathological Process ◽  
Periodontal Tissue ◽  
Dental Implantation ◽  
Orthopedic Rehabilitation ◽  
Abutment Teeth

Resume. The high prevalence of periodontal disease causes the urgency of finding ways to improve methods of diagnosis, treatment and prevention of complications of this disease. The complex clinical picture requires a differentiated approach to the choice of orthopedic rehabilitation of such patients taking into account the patient's age, degree of pathological changes and activity of the pathological process with mandatory immobilization of movable teeth by different types of splints and splint dentures. Depending on the degree of pathological changes in periodontal tissues, the size and topography of dentition defects and the severity of destructive-resorptive processes in the alveolar bone, the replacement of dentition defects should be planned using dental implants and splinttype dentures. The aim of the study. Improving the effectiveness of orthopedic treatment of periodontal diseases, burdened by defects of the dentition through the differentiated use of dental implants and splinting structures. Materials and methods. A comprehensive clinical and laboratory examination of 237 patients with clinically diagnosed periodontitis I–III degree, burdened by partial loss of teeth. From the specified contingent of persons we carried out orthopedic treatment of 98 patients aged from 30 to 69 years with periodontal diseases of various severity, aggravated by defects of dentitions of various size and localization. Cone-beam computed tomography was used for objective quantitative and qualitative assessment of periodontal tissue and bone tissue of the edentulous jaw in individuals with various clinical forms of periodontal disease, to determine the relative densitometric density of bone tissue, when planning dental implantation and for control its results. The localization of supracontacts was determined by occlusion. Diagnosis and elimination of traumatic occlusion were performed according to Jenkelson and Schuller [3]. Evaluation of the stability of dental implants was performed by frequency – resonance analysis of the stability of dental implants using the Osstell ISQ device. Results. According to the results of examination of 237 people and the division of patients into three age groups, the clinical features of the pathological process in the age aspect were established. The results of computed tomography of the dental apparatus of the subjects showed that periodontal disease in the age aspect in the dynamics is accompanied by the severity of destructive-resorptive processes in the alveolar bone, which are manifested in a decrease in the relative densitometric density of bone marrow and bone loss. Orthopedic rehabilitation of this contingent of persons was performed with the use of biologically indifferent structural materials and splinting orthopedic structures, including splinting of abutment teeth, removable prosthetics and dental implantation, as well as accompanying physiotherapy of prostheses. In the case of periodontitis of I–II degree with sufficient volume and density of bone tissue in the area of the dentition defect, high clinical efficacy was shown by the use of dental implantation in the case of gradual loading of the dental implant using a superstructure of own development. In the presence of medium and large defects of the dentition on the background of periodontitis II–III severity in the presence of significant pathological mobility of abutment teeth and insufficient volume and density of bone tissue in the area of the defect sufficient clinical effectiveness showed the use of removable dentures own design. Conclusions. Periodontal diseases in the age aspect in the dynamics are accompanied by pronounced destructive-resorptive processes in the alveolar bone, which are manifested by a decrease in the relative densitometric density of bone tissue and progressive loss of height of the alveolar process. Timely application of dental implantation due to the dosed gradual occlusal load on the alveolar bone helps to preserve the structure of the alveolar bone and the height of the alveolar process. In the presence of medium and large defects of the dentition on the background of periodontitis II–III severity in the presence of significant pathological mobility of abutment teeth and insufficient volume and density of bone tissue in the area of the dentition defect, the use of removable dentures of splinttype design is shown. To prevent complications of prosthetics and prolong the use of orthopedic structures, it is advisable to use photodynamic maintenance therapy. Key words: periodontal tissue disease, dentition defect, dental implantation, splint-type denture.

EVALUATION OF RESULTS OF THE IMPLANT PLACEMENT IMMEDIATELY AFTER TOOTH EXTRACTION

2018 ◽  
Vol 8 (6) ◽  
pp. 196-202
Author(s):  
Phuc Ngo Vinh ◽  
Tai Tran Tan ◽  
Duong Huynh Van
Keyword(s):  
Success Rate ◽  
Dental Implants ◽  
Tooth Extraction ◽  
Treatment Time ◽  
Clinical Results ◽  
High Rate ◽  
Overall Treatment Time ◽  
Implant Placement ◽  
The Status ◽  
Immediate Implant

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

Lateral Bone Condensing and Expansion for Placement of Endosseous Dental Implants: A New Technique

10.1563/786.1 ◽  
2006 ◽  
Vol 32 (2) ◽  
pp. 87-94 ◽  
Author(s):  
Azfar A. Siddiqui ◽  
Mark Sosovicka
Keyword(s):  
Dental Implants ◽  
Bone Grafting ◽  
Alveolar Bone ◽  
Treatment Time ◽  
Missing Teeth ◽  
Bone Expansion ◽  
A New Technique ◽  
Considerable Period ◽  
Implant Treatment ◽  
Bone Condensing

Abstract Placement of endosseous dental implants can be a problem due to bone resorption if the patient has been missing teeth for a considerable period of time. In the literature, bone-grafting techniques have shown variable results. Additionally, bone grafting requires a longer treatment time and a need for a second surgery, and it adds significant cost to the treatment. These factors often discourage patients from having dental-implant treatment. Another technique for placement of dental implants in narrow bone ridges is repositioning and remodeling of alveolar bone by condensing and expansion with the help of bone osteotomes. This article presents 2 cases, 1 in the maxilla and 1 in the mandible, for placement of endosseous dental implants with the use of a new bone-expansion osteotome kit that utilizes a screw-type configuration for bone condensing and expansion.

scholarly journals Peri-Implantitis In Dental Implants: An Updated Review

2015 ◽  
Vol 9 (2) ◽  
pp. 81-84 ◽  
Author(s):  
V Sharma ◽  
A Kumar ◽  
G Bhayana ◽  
A Dahiya ◽  
N Duggal ◽  
...  
Keyword(s):  
Dental Implants ◽  
Bacterial Infections ◽  
Alveolar Bone ◽  
Treatment Options ◽  
Treatment Modalities ◽  
Surgical Trauma ◽  
Implant Surface ◽  
Probing Depth ◽  
Gradual Loss ◽  
Edentulous Patients

ABSTRACT The use of dental implants has revolutionized the treatment of partially and fully edentulous patients today. While in many cases dental implants have been reported to achieve long-term success, these are also not immune from the complicationsincludingperi-implant mucositis and peri-implantitis. Peri-implantitis is an inflammatory process which involves bone loss around osseointegrated implant in function. The etiology of the disease has been attributed to bacterial infections, occlusal overload, surgical trauma, faulty or incorrect prosthetic design and/ or improper implant placement. Diagnosis is based on changes in colour of the gingiva, bleeding and probing depth of peri-implant pockets, suppuration, x-ray and gradual loss of bone height around the tooth. Treatment modalities will differ depending upon whether it is a case of periimplantmucositis or periimplantitis, Therapeutic objectives focus on control of infection, detoxification of the implant surface and regeneration of the alveolar bone. This review article gives a brief description of etiopathogenesis, diagnosis and various treatment options in the management of periimplant disease.

scholarly journals Effect of sandwich bone augmentation using hydroxyapatite and demineralized freeze- dried bone on infrabony pocket treatment

2020 ◽  
Vol 5 (3) ◽  
pp. 114
Author(s):  
Eka Pramudita Ramadhany ◽  
Al Sri Koes Soesilowati ◽  
Sri Pramestri Lastianny
Keyword(s):  
Bone Density ◽  
Bone Graft ◽  
Alveolar Bone ◽  
Graft Material ◽  
Bone Augmentation ◽  
Attachment Loss ◽  
Probing Depth ◽  
Freeze Dried ◽  
Open Flap Debridement ◽  
Bone Height

Periodontitis is periodontal inflammation in response to plaque bacterial antigens, causing damage to periodontal ligament and alveolar bone resorption. Bone graft material combination i.e. demineralized freeze-dried bone allograft (DFDBA) and hydroxyapatite (HA) using sandwich bone augmentation (SBA) method will support each other and will be beneficial to be used as a scaffold. The body takes long time to resorb HA so this could complement DFDBA which is more easily dissolved. This study aimed to reveal the effect of bone graft addition using SBA method on the treatment of infrabony pocket with open flap debridement in terms of probing depth, relative attachment loss, alveolar bone height, and density. This study was carried out to 20 infrabony pockets, where 10 of them were treated using open flap debridement with HA addition, while the other 10 groups were treated using open flap debridement with DFDBA and HA using SBA method. Probing depth  and relative attachment loss were measured on days 0, 30 and 90. Bone height and density were measured using cone-beam computed tomography (images on day 0 and 90). The study showed that probing depth reduction on SBA group was greater than HA group. There were significant differences in probing depth and relative attachment loss examinations. However, bone height and bone density reduction did not show any significant difference. The conclusion from this study is open flap debridement using SBA method yields better regeneration in terms of probing depth and relative attachment loss than open flap debridement with HA addition. There is no difference in bone height and bone density between the two groups.

scholarly journals Management of the Athrofic Maxilar Crest with the Ridge Split Technique

2019 ◽  
Vol 21 (1) ◽  
pp. 23-29
Author(s):  
Britto Falcón-Guerrero DDS, MDS, PhD
Keyword(s):  
Dental Implants ◽  
Alveolar Bone ◽  
Treatment Time ◽  
Horizontal Direction ◽  
Case Presentation ◽  
Atrophic Maxilla ◽  
Successful Technique ◽  
Ridge Split ◽  
Split Technique ◽  
Maxillary Sinuses

Introduction: the bony atrophy of the maxillary ridge is always a limitation to install dental implants. The Ridge Split procedure proves to be a successful technique to perform the management of horizontal defects, increasing the dimensions of the atrophic ridge to immediately install dental implants. Aim: to describe the clinical use of the Ridge Split technique as a treatment for bone augmentation in the horizontal direction of the atrophic maxilla. Case presentation: the case of a female patient of 61 years of age, partially edentulous, who seeks to recover her upper teeth was presented. The clinical examination shows only two teeth and the radiographic-tomographic examination showed severe bone resorption and pneumatization of the maxillary sinuses. It is planned to install two implants to make an over denture, using the Ridge Split technique and immediate installation of the implants. Five months later, a tomographic control was performed evidencing a horizontal increase of the alveolar ridge and it was rehabilitated with an overdenture, with which the patient's aesthetic and functional compliance was achieved. Conclusion: the presented case reveals that this technique increases the bone ridge in horizontal direction and allows to install the implants simultaneously. It is a predictable, safe and comfortable treatment, and shortens the treatment time, making it a viable alternative for the management of alveolar bone defects.

scholarly journals Autogenous Dentin Graft in Bone Defects after Lower Third Molar Extraction: A Split-Mouth Clinical Trial

Materials ◽  
2020 ◽  
Vol 13 (14) ◽  
pp. 3090
Author(s):  
Luis Sánchez-Labrador ◽  
María Martín-Ares ◽  
Ricardo Ortega-Aranegui ◽  
Juan López-Quiles ◽  
José María Martínez-González
Keyword(s):  
Clinical Trial ◽  
Bone Density ◽  
Bone Regeneration ◽  
Alveolar Bone ◽  
Third Molar ◽  
Autogenous Bone ◽  
Graft Material ◽  
Third Molar Extraction ◽  
Probing Depth ◽  
Molar Extraction

Various biomaterials are currently used for bone regeneration, with autogenous bone being considered the gold standard material because of its osteogenic, osteoconductive, and osteoinductive properties. In recent years, the use of autogenous dentin as a graft material has been described. This split-mouth clinical trial assesses the efficacy of autogenous dentin for the regeneration of periodontal defects caused by bone loss associated with impacted lower third molar extraction. Fifteen patients underwent bilateral extraction surgery (30 third molars) using dentin as a graft material on the test side, and leaving the control side to heal spontaneously, comparing the evolution of the defects by evaluating probing depth at three and six months post-operatively. Bone density and alveolar bone crest maintenance were also evaluated six months after surgery, and pain, inflammation, mouth opening capacity on the second and seventh days after surgery. Probing depth, radiographic bone density, and alveolar bone crest maintenance showed significant differences between the test and control sides. Autogenous dentin was found to be an effective biomaterial for bone regeneration after impacted lower third molar extraction.

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