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.

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.

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.

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 Comparison of Bone Resorption Rates after Intraoral Block Bone and Guided Bone Regeneration Augmentation for the Reconstruction of Horizontally Deficient Maxillary Alveolar Ridges

2016 ◽  
Vol 2016 ◽  
pp. 1-9 ◽  
Author(s):  
B. Alper Gultekin ◽  
Elcin Bedeloglu ◽  
T. Emre Kose ◽  
Eitan Mijiritsky
Keyword(s):  
Bone Resorption ◽  
Bone Regeneration ◽  
Guided Bone Regeneration ◽  
Outcome Variable ◽  
Insertion Torque ◽  
Recipient Site ◽  
Implant Placement ◽  
Bone Atrophy ◽  
Augmentation Techniques ◽  
Bone Gain

Purpose. Bone atrophy after tooth loss may leave insufficient bone for implant placement. We compared volumetric changes after autogenous ramus block bone grafting (RBG) or guided bone regeneration (GBR) in horizontally deficient maxilla before implant placement. Materials and Methods. In this retrospective study, volumetric changes at RBG or GBR graft sites were evaluated using cone-beam computed tomography. The primary outcome variable was the volumetric resorption rate. Secondary outcomes were bone gain, graft success, and implant insertion torque. Results. Twenty-four patients (28 grafted sites) were included (GBR, 15; RBG, 13). One patient (RBG) suffered mucosal dehiscence at the recipient site 6 weeks after surgery, which healed spontaneously. Mean volume reduction in the GBR and RBG groups was 12.48 ± 2.67% and 7.20 ± 1.40%, respectively. GBR resulted in significantly more bone resorption than RBG (P<0.001). Mean horizontal bone gain and width after healing were significantly greater in the GBR than in the RBG group (P=0.002 and 0.005, resp.). Implant torque was similar between groups (P>0.05). Conclusions. Both RBG and GBR hard-tissue augmentation techniques provide adequate bone graft volume and stability for implant insertion. However, GBR causes greater resorption at maxillary augmented sites than RBG, which clinicians should consider during treatment planning.

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 Root Submergence Technique: Forgotten Terrain Revisited

2018 ◽  
Vol 2 (2) ◽  
pp. 73-75
Author(s):  
Rejina Shrestha ◽  
Shaili Pradhan ◽  
Ranjita Shrestha Gorkhali ◽  
Anand Verma
Keyword(s):  
Soft Tissue ◽  
Bone Resorption ◽  
Tooth Extraction ◽  
Alveolar Bone ◽  
Soft Tissue Augmentation ◽  
Alveolar Ridge ◽  
Socket Preservation ◽  
Intact Bone ◽  
And Function

The resorption of the alveolar ridge is an inevitable phenomenon after tooth extraction and continues throughout the lifespan of an individual. Socket preservation, hard and soft tissue augmentation procedures are indicated to compensate alveolar bone resorption. Compensation can also be done by masking with acrylic flanges, pink porcelain and gingival veneers. However, procedures to preserve the bone anticipatory to the loss after extraction should be prioritised. This paper reports a case of fractured non-vital tooth where root submergence technique was done. A follow-up at 6 months presents intact bone aiding in the aesthetics and function of the prosthesis.

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.

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