Immediate Postextraction Implant Placement Using Plasma Rich in Growth Factors Technology in Maxillary Premolar Region: A New Strategy for Soft Tissue Management

2013 ◽  
Vol 39 (1) ◽  
pp. 98-102 ◽  
Author(s):  
Gabriele Rosano ◽  
Silvio Taschieri ◽  
Massimo Del Fabbro
Keyword(s):  
Growth Factors ◽  
Soft Tissue ◽  
Autologous Plasma ◽  
Anterior Maxilla ◽  
Aesthetic Result ◽  
Implant Placement ◽  
Extraction Site ◽  
Increased Risk ◽  
New Strategy ◽  
Tissue Grafts

Achieving an excellent aesthetic outcome in postextraction dental implant placement in the anterior maxilla is a challenging procedure for clinicians. In fact, there is an increased risk for soft tissue recession at the facial aspect which may require supplementary connective tissue grafts to accomplish the final aesthetic result. The aim of this case report is to describe a regenerative technique using autologous plasma rich in growth factors fibrin plug for preservation of soft tissue architecture around an implant immediately placed into an extraction site in the anterior maxilla. Such a procedure allowed for guided bone regeneration without the need for vertical releasing incisions and primary healing, thus showing a pleasant gingival contour at the facial aspect after a single stage surgery. Integrating this technique into common practice could provide important benefits for the patients regarding aesthetics, without any risk of infection or transmission of diseases.

scholarly journals Immediate Loading of Single Post-Extractive Implants in the Anterior Maxilla: 12-Month Results From a Multicenter Clinical Study

2012 ◽  
Vol 38 (S1) ◽  
pp. 477-484 ◽  
Author(s):  
Tommaso Grandi ◽  
Giovanna Garuti ◽  
Rawad Samarani ◽  
Paolo Guazzi ◽  
Andrea Forabosco
Keyword(s):  
Clinical Study ◽  
Soft Tissue ◽  
Bone Resorption ◽  
Tooth Extraction ◽  
Immediate Loading ◽  
Insertion Torque ◽  
Anterior Maxilla ◽  
Implant Placement ◽  
Implant Size ◽  
Multicenter Clinical Study

The purpose of the study was to evaluate survival and peri-implant bone levels of single, immediately loaded post-extractive implants in the anterior maxilla 12 months after implant placement. Thirty-six consecutive patients from 3 study centers were included in the study. The concerned sites were upper premolars, canines, and incisors. For each patient the following data were recorded: reason for tooth extraction, bone quality, implant size, and final insertion torque. Implants were placed using a flapless technique and immediately loaded with a nonoccluding temporary restoration. Final restorations were provided 4 months later. Peri-implant bone resorption was evaluated radiographically after 6 and 12 months. The average final insertion torque was 70.55 Ncm. One implant inserted in D3 quality bone with a 35-Ncm seating torque was lost. All other implants had a final insertion torque ranging between 50 and 80 Ncm. The average peri-implant bone loss was 0.437 and 0.507 mm at 6 and 12 months, respectively. All the sites maintained excellent papillae and peri-implant soft-tissue conditions. The resulting 1-year success rate was 97.2%. Immediate nonfunctional loading of single post-extractive implants in the anterior maxilla is a predictable treatment. And it seems that achieving high insertion torques by placing self-tapping/self-condensing implants in an underprepared osteotomy is favorable.

Restoration of the Soft-tissue Margin in Single-tooth Implant in the Anterior Maxilla

2006 ◽  
Vol 32 (6) ◽  
pp. 286-290 ◽  
Author(s):  
Jamil Awad Shibli ◽  
Susana d'Avila
Keyword(s):  
Soft Tissue ◽  
Connective Tissue ◽  
Surgical Techniques ◽  
Soft Tissue Defect ◽  
Anterior Maxilla ◽  
Grafting Technique ◽  
Single Tooth ◽  
Implant Restoration ◽  
Tissue Grafts ◽  
Single Tooth Implant

Abstract Esthetic requirements for dental implant restoration have arisen in recent years. Despite several surgical techniques that have been developed, the treatment of the peri-implant soft-tissue defect is still difficult. The purpose of this clinical article is to describe a grafting technique using subepithelial connective tissue grafts to recontour soft-tissue margin discrepancy for single-tooth implant restorations in the anterior maxilla. After 2-year follow-up, this procedure shows that the use of connective tissue grafts can be a predictable approach to establish new and stable peri-implant soft-tissue margin.

scholarly journals Single-Tooth Morse Taper Connection Implant Placed in Grafted Site of the Anterior Maxilla: Clinical and Radiographic Evaluation

2014 ◽  
Vol 2014 ◽  
pp. 1-11 ◽  
Author(s):  
Francesco Guido Mangano ◽  
Piero Zecca ◽  
Fabrizia Luongo ◽  
Giovanna Iezzi ◽  
Carlo Mangano
Keyword(s):  
Bone Resorption ◽  
Tooth Extraction ◽  
Soft Tissues ◽  
Radiographic Evaluation ◽  
Reconstruction Technique ◽  
Anterior Maxilla ◽  
Reconstructive Procedures ◽  
Aesthetic Result ◽  
Implant Placement ◽  
Barrier Membrane

The aim of this study was to achieve aesthetically pleasing soft tissue contours in a severely compromised tooth in the anterior region of the maxilla. For a right-maxillary central incisor with localized advanced chronic periodontitis a tooth extraction followed by reconstructive procedures and delayed implant placement was proposed and accepted by the patient. Guided bone regeneration (GBR) technique was employed, with a biphasic calcium-phosphate (BCP) block graft placed in the extraction socket in conjunction with granules of the same material and a resorbable barrier membrane. After 6 months of healing, an implant was installed. The acrylic provisional restoration remained in situ for 3 months and then was substituted with the definitive crown. This ridge reconstruction technique enabled preserving both hard and soft tissues and counteracting vertical and horizontal bone resorption after tooth extraction and allowed for an ideal three-dimensional implant placement. Localized severe alveolar bone resorption of the anterior maxilla associated with chronic periodontal disease can be successfully treated by means of ridge reconstruction with GBR and delayed implant insertion; the placement of an early-loaded, Morse taper connection implant in the grafted site was effective to create an excellent clinical aesthetic result and to maintain it along time.

The “Washing Line” Suture Technique for Securing the Subepithelial Connective Tissue Graft

2014 ◽  
Vol 40 (S1) ◽  
pp. 381-390 ◽  
Author(s):  
Shane J. J. McCrea
Keyword(s):  
Soft Tissue ◽  
Connective Tissue ◽  
Suture Technique ◽  
Soft Tissue Augmentation ◽  
Recipient Site ◽  
Visual Aesthetics ◽  
Implant Placement ◽  
Soft Tissue Volume ◽  
Extraction Site ◽  
Natural Dentition

Following tooth extraction, resorption of the buccal wall of the socket will occur; this will be true for both the maxilla and the mandible. Where the extraction site is surrounded by natural dentition, the loss of the buccal alveolar plate can degrade the visual aesthetics of an implant-supported prosthetic rehabilitation. To aid the harmonization of the hard and soft tissue morphology, both hard and soft tissue augmentation can be carried out either consecutively with an extraction/immediate implant placement or prior to an implant placement in the delayed scenario. The contemporary method of increasing soft tissue volume is to use the Subepithelial Connective Tissue (auto) Graft (the SCTG). The graft requires fixation, otherwise it can be extruded from the recipient site. This article presents a novel suturing technique which can confidently secure the SCTG, thus resisting its dislodgement.

scholarly journals Redefining Esthetics: The Implant Way

2021 ◽  
Author(s):  
Prabal Sharma ◽  
Bhumika Sharma ◽  
Sumit Makkar ◽  
Sandeep Kalra
Keyword(s):  
Risk Assessment ◽  
Soft Tissue ◽  
Dental Implant ◽  
Crucial Role ◽  
Anterior Maxilla ◽  
Implant Placement ◽  
Implant Restoration ◽  
Natural Dentition ◽  
Maxillary Region

AbstractAlteration in conventional techniques in anterior maxilla is essential for making a restoration look more natural and harmonious with the rest of the mouth, as this area is more prone to aesthetic failure. The visibility of anterior crowns is obviously more, making it necessary for a restoration to blend with the natural dentition. This makes a person’s smile more pleasant and aesthetic. Proper risk assessment must be considered while placing implants in anterior maxillary region as any deficiency in bone and soft tissue could compromise the aesthetics as well as overall success of a dental implant restoration. Timing of implant placement also plays a crucial role in providing aesthetic success in this region. This article presents a case where implant placement is done, enhancing the aesthetics as well as function in the anterior maxillary region.

scholarly journals Long-term Stability of Soft Tissue Esthetic Outcomes Following Conventional Single Implant Treatment in the Anterior Maxilla: 10-12 Year Results

2016 ◽  
Vol 10 (1) ◽  
pp. 602-609 ◽  
Author(s):  
A Rokn ◽  
SH Bassir ◽  
AA Rasouli Ghahroudi ◽  
MJ Kharazifard ◽  
R Manesheof
Keyword(s):  
Soft Tissue ◽  
Anterior Maxilla ◽  
Term Stability ◽  
Long Term Stability ◽  
Implant Placement ◽  
Single Tooth ◽  
Delayed Implant Placement ◽  
Implant Treatment

Purpose: The present study aimed to evaluate the long-term stability of esthetic outcomes of soft tissue around maxillary anterior single-tooth implants after 10-to-12 years of loading. Methods: Patients who had been treated for single-tooth implants in the anterior maxilla between February 2000 and July 2002 were invited to participate in the study. All implants had been placed according to delayed implant placement and conventional loading protocols without any connective tissue graft or papilla preservation flaps. Pink Esthetic Score (PES) was rated using standardized clinical photographs to assess the esthetic outcomes of the implant treatment at the time of crown placement and at time of follow-up examination which was at least 10 years after the crown placement. Results: A total of 19 patients were included. The mean score of PES was 11.63 (SD 1.61; range 7-14) at baseline. After 10-to-12 years of function, a mean PES score of 11.05 (SD 2.09; range 6–14) was recorded. No significant differences were found in the esthetic outcomes, categorized based on clinically relevant levels, between the baseline and follow-up session (p>0.05). Conclusion: Within limitation of the present study, it can be concluded that the esthetic outcomes of soft tissue around the maxillary anterior single-tooth implants placed using conventional implant placement technique remained stable in the long-term.

scholarly journals Tissue Recession around a Dental Implant in Anterior Maxilla: How to Manage Soft Tissue When Things Go Wrong?

Prosthesis ◽  
2021 ◽  
Vol 3 (3) ◽  
pp. 209-220
Author(s):  
Uccioli Umberto ◽  
Fonzar Alberto ◽  
Lanzuolo Stefania ◽  
Meloni Silvio Mario ◽  
Lumbau Aurea Immacolata ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Soft Tissue ◽  
Gold Standard ◽  
Orthodontic Treatment ◽  
Tooth Extraction ◽  
Decision Making Process ◽  
Anterior Maxilla ◽  
Socket Preservation ◽  
Connective Tissue Graft ◽  
Implant Placement

Dental implants represent the gold standard for the treatment of single edentulism, even in anterior areas. Today, the basic criteria for implant success has changed from mobility, pain, radiolucency, and peri-implant bone loss (>1.5 mm) to prosthetic level success, aesthetics, soft tissue parameters, as well as patient satisfaction. This case report documents a combination of surgical and prosthetic procedures for the treatment of gingival recessions in the anterior maxilla, appearing after tooth extraction, socket preservation, and staged guided implant placement. Prosthetic management of the temporary restoration, orthodontic treatment, and a connective tissue graft were performed. The decision-making process and step-by-step execution of the treatments are presented to describe the entire clinical and surgical management of the reported case. Finally, good aesthetic outcomes, patient satisfaction, and recovery of the soft tissue recession were observed with the combination of these techniques.

A 10-Year Cone Beam Computerized Tomography Observation of the Buccal Bony Wall of an Immediately Placed Implant at the Anterior Maxilla: A Case Report

2018 ◽  
Vol 44 (3) ◽  
pp. 213-217 ◽  
Author(s):  
Junho Jung ◽  
Kwantae Noh ◽  
Bilal Al-Nawas ◽  
Yong-Dae Kwon
Keyword(s):  
Soft Tissue ◽  
Computerized Tomography ◽  
Wall Thickness ◽  
Cone Beam ◽  
Anterior Maxilla ◽  
Implant Placement ◽  
Immediate Implant ◽  
Cone Beam Computerized Tomography ◽  
The Stability

Since the introduction of immediate implant placements, the buccal bony wall has been a major consideration for success due to its correlation with soft tissue contour and color. This report presents the stability of the buccal wall thickness of an immediately placed implant at the anterior maxilla over 10 years. Although the width of the buccal wall decreased at the 2-year post-op follow-up, it remained stable afterward according to cone beam computerized tomography (CBCT) scans. Hence, this report suggests that ensuring adequate bony wall thickness with bone augmentation and fixture position may promise the longevity of the buccal bony wall and surrounding soft tissue in an immediate implant placement.

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