scholarly journals Diagnosis and treatment of extraction sockets in preparation for implant placement: report of three cases

2008 ◽  
Vol 19 (2) ◽  
pp. 159-164 ◽  
Author(s):  
Márcio José Rodrigues Barcelos ◽  
Arthur Belém Novaes Júnior ◽  
Marcio Baltazar Conz ◽  
Nassin David Harari ◽  
Guaracilei Maciel Vidigal Júnior
Keyword(s):  
Bone Defect ◽  
Root Resorption ◽  
Case Reports ◽  
Receptor Site ◽  
Wall Defect ◽  
Implant Placement ◽  
Immediate Implants ◽  
Immediate Implant ◽  
Defect Morphology ◽  
Subsequent Intervention

This article addresses diagnostic parameters that should be assessed in the treatment of extraction sockets with dental implant placement by presenting three case reports that emphasize the relevance of the amount of remaining bone walls. Diagnosis was based on the analysis of clinical and radiographic parameters (e.g.: bone defect morphology, remaining bone volume, presence of infections on the receptor site). Case 1 presents a 5-wall defect in the maxillary right central incisor region with severe root resorption, which was treated with immediate implant placement. Cases 2 and 3 present, respectively, two- and three-wall bone defects that did not have indication for immediate implants. These cases were first submitted to a guided bone regeneration (GBR) procedure with bone graft biomaterial and membrane barriers, and the implants were installed in a second surgical procedure. The analysis of the preoperative periodontal condition of the adjacent teeth and bone defect morphology is extremely important because these factors determine the choice between immediate implant or GBR treatment followed by implant installation in a subsequent intervention.

scholarly journals Flapless Immediate Implant Placement and Provisionalization (FIIPP) in the Aesthetic Region: Surgical Protocol of a Prospective Clinical Cohort Study on 100 Patients – Two Case Reports: Intact Socket, and Defect Socket with a Thin Gingival Phenotype

2021 ◽  
pp. 1-5
Author(s):  
Edith Groenendijk ◽  
Edith Groenendijk ◽  
Gert Jacobus Meijer
Keyword(s):  
Cohort Study ◽  
Bone Defect ◽  
Case Reports ◽  
Treatment Method ◽  
Aesthetic Outcome ◽  
Clinical Cohort ◽  
Implant Placement ◽  
Immediate Implant ◽  
The Aesthetic ◽  
Gingival Phenotype

Background: Immediate implant placement and provisionalization (IIPP) is considered as a high-risk treatment for aesthetic failure and generally only recommended in case of post-extraction intact sockets and a thick phenotype gingiva. During a prospective clinical cohort study on one-hundred consecutive patients, using this strict flapless immediate implant placement and provisionalization (FIIPP) protocol, we found high and stable aesthetic outcomes (WES/PES = 8.2/12.1) in both intact – and defect sockets, and both thin- as thick gingival phenotype. By means of one case report (Case 1), the total FIIPP treatment is illustrated. Results of two other cases, show that comparable high aesthetic outcomes can be reached in cases with a thin phenotype gingiva or buccal bone defect using the same protocol. Case Presentation: In a 24-year-old male with good general and oral health, root fracture of tooth 21 was diagnosed and FIIPP was indicated. Direct post-extraction, an implant was placed in a palatal position of an intact socket by a flapless approach. A minimum space of 2 mm in front of the implant was created and filled with a bone-substitute prior to implant placement. Subsequently, the implant was restored by use of a titanium abutment and a composite temporary crown. Three months later, the temporary crown was replaced by a customized zirconium abutment and ceramic crown resulting in a high aesthetic outcome. A comparable aesthetic outcome using this protocol can be reached in cases with a thin phenotype gingiva and/or a buccal bone defect (Case 2). Conclusion: Using described surgical FIIPP protocol, high aesthetic outcomes are reached in only 4 visits and within a treatment period of 4 months. A thin phenotype gingiva, or a pre-operative buccal bone defect, does not seem to affect the aesthetic outcome using this treatment method.

scholarly journals Immediate Implant Placement by Interradicular Bone Drilling before Molar Extraction: Clinical Case Report with One-Year Follow-Up

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Stuardo Valenzuela ◽  
José M. Olivares ◽  
Nicolás Weiss ◽  
Dafna Benadof
Keyword(s):  
Survival Rates ◽  
Three Dimensional ◽  
Primary Stability ◽  
Bone Drilling ◽  
Implant Placement ◽  
Immediate Implants ◽  
Immediate Implant ◽  
One Year ◽  
Molar Extraction

The placement of immediate implants in the posterior sector is a widespread procedure where the success and survival rates are similar to those of traditional protocols. It has several anatomical challenges, such as the presence of interradicular bone septa that hinder a correct three-dimensional positioning of the implant and may compromise primary stability and/or cause damage of neighboring structures. The aim of this article is to present the treatment and the one-year clinical follow-up of a patient who received immediate implant placement using an interradicular bone-drilling technique before the molar extraction.

scholarly journals Contribution of the PDL to Osteotomy Repair and Implant Osseointegration

2017 ◽  
Vol 96 (8) ◽  
pp. 909-916 ◽  
Author(s):  
X. Pei ◽  
L. Wang ◽  
C. Chen ◽  
X. Yuan ◽  
Q. Wan ◽  
...  
Keyword(s):  
Bone Formation ◽  
Titanium Implants ◽  
Multiple Time ◽  
New Bone Formation ◽  
Extraction Socket ◽  
Minimally Invasive Surgical ◽  
Implant Placement ◽  
Extraction Site ◽  
Immediate Implants ◽  
Immediate Implant

Our objective was to clarify the fate of the periodontal ligament (PDL) retained in the socket after tooth extraction, then determine if this tissue contributed to the osseointegration of “immediate” implants placed in these fresh extraction sockets. Mice underwent maxillary first molar extraction, the residual PDL was removed by an osteotomy, and titanium implants were placed. The osteotomy was created in such a way that the palatal surface was devoid of PDL remnants while the buccal, mesial, and distal surfaces retained PDL fibers. At multiple time points after surgery, tissues were analyzed using a battery of molecular, cellular, and histomorphometrical assays. We found that PDL remnants mineralized and directly contributed to new bone formation in the extraction site. Compared with regions of an extraction site where the PDL was removed by osteotomy, regions that retained PDL fibers had produced significantly more new bone. Around immediate implants, the retained PDL remnants directly contributed to new bone formation and osseointegration. Thus, we conclude that PDL remnants are inherently osteogenic, and if the tissue is healthy, it is reasonable to conclude that curetting out an extraction socket prior to immediate implant placement should be avoided. This recommendation aligns with contemporary trends toward minimally invasive surgical manipulations of the extraction socket prior to immediate implant placement.

scholarly journals Exploring Effectiveness of Computer-Aided Planning in Implant Positioning for a Single Immediate Implant Placement

2016 ◽  
Vol 42 (3) ◽  
pp. 233-239 ◽  
Author(s):  
Alexander R. Edelmann ◽  
Bashir Hosseini ◽  
Warren C. Byrd ◽  
John S. Preisser ◽  
Donald A. Tyndall ◽  
...  
Keyword(s):  
Small Volume ◽  
Implant Position ◽  
Box Plots ◽  
Implant Positioning ◽  
Implant Placement ◽  
Computer Aided ◽  
Immediate Implants ◽  
Immediate Implant ◽  
Cone Beam Computerized Tomography ◽  
Computer Aided Planning

The value of computer-aided implant planning using cone-beam computerized tomography (CBCT) for single immediate implants was explored. Eighteen patients requiring extraction of a tooth followed by a single immediate implant were enrolled. Small volume preoperative CBCT scans were used to plan the position of the implant. A taper screwed–type implant was immediately placed into a fresh socket using only the final 1 or 2 drills for osteotomy. Postoperative CBCTs were used for the analysis of actual implant placement positioning. Measurements of the planned and the actual implant position were made with respect to their position relative to the adjacent teeth. Mesio-distal displacements and the facial-lingual deviation of the implant from the planned position were determined. Changes in the angulation of the planned and actual implant position in relation to the clinical crown were also measured. To statistically summarize the results, box plots and 95% CIs for means of paired differences were used. The analysis showed no statistical difference between the planned position and final implant placement position in any measurement. The CBCT scans coupled with the computer-aided implant planning program along with a final 1-to-2 drill protocol may improve the accuracy of single immediate implant placement for taper screwed–type implants.

scholarly journals Sandwich Bone Augmentation (SBA) in immediate implant placement post dentoalveolar trauma: a case report

2017 ◽  
Vol 2 (3) ◽  
pp. 197
Author(s):  
Anton Anton ◽  
Poerwati S. Rahajoe ◽  
Bambang Dwirahardjo
Keyword(s):  
Bone Defect ◽  
Stable Condition ◽  
Bone Augmentation ◽  
Titanium Mesh ◽  
Bone Thickness ◽  
Implant Placement ◽  
Immediate Implant ◽  
Dentoalveolar Trauma ◽  
One Year ◽  
Ti Mesh

Objective: Reporting the application of SBA procedure with titanium mesh as an alternative solution for immediate implant placement in socket with dentoalveolar trauma-induced buccal bone defect.Methods: An 18-year-old female patient visited our department, with a history dentoalveolar trauma and a loss of  tooth 21. Clinical examination during the implant placement procedure exposed  a socket with buccal bone defect. SBA with autogenous chin bone graft combined with DFDBA allograft and stabilized with titanium mesh (Ti-Mesh) for buccal defect on which flap reposition was done with tension free primary closure.Results: Ti-Mesh was removed after 3 months which no sign of inflamation appeared, implant was in a stable condition and new bone formation was observed. Subsequently, healing abutment was placed. A one-year observation suggested a good clinical retention with no luxation observed, along with decent functional and esthetic results. CBCT evaluation showed buccal bone thickness preserved.Conclusion: Sandwich bone augmentation with stabilized titanium mesh provides a satisfying result in treating horizontal buccal bone defect.

scholarly journals Five-Year Follow-up of an Immediate Implant Placement in the Aesthetic Zone

2018 ◽  
Vol 2 (2) ◽  
pp. 76-79
Author(s):  
Bhageshwar Dhami ◽  
Priti Shrestha
Keyword(s):  
Alveolar Bone ◽  
Treatment Time ◽  
Maxillary Central Incisor ◽  
Implant Placement ◽  
Surgical Extraction ◽  
Immediate Implants ◽  
Tissue Changes ◽  
Immediate Implant ◽  
The Aesthetic

Immediate implants are placed in the site of surgical extraction of the tooth to be replaced. The percentage success of such procedures varies among authors from 94-100%. Immediate implant placement is most commonly indicated when tooth extraction is done with pathologies not amenable to treatment. The advantages include reduced post-extraction alveolar bone resorption, shortened treatment time, and the avoidance of a second surgical intervention with regard to delayed implantation. This report describes a case of immediate implant placed in a maxillary central incisor followed by evaluation of soft and hard tissue changes occurring during post-operative period with a follow-up at five years.

Immediate Implant Placement and Temporization in the Aesthetic Zone in the Presence of Horizontal and Vertical Bone Defect : A Case Report

2014 ◽  
Vol 9 (2) ◽  
pp. 24-28
Author(s):  
Meouchy Badry ◽  
Choueiry Chady ◽  
Mouchref Hamasni Fatme ◽  
Rifai Mohammad
Keyword(s):  
Case Report ◽  
Bone Defect ◽  
Implant Placement ◽  
Immediate Implant ◽  
The Aesthetic

scholarly journals Immediate Implant Placement: Success or Failure?

2013 ◽  
Vol 01 (01) ◽  
pp. 046-048
Author(s):  
Ashutosh Nirola ◽  
Shallu Bhardwat
Keyword(s):  
Dental Implants ◽  
Case Reports ◽  
Treatment Protocol ◽  
Dental Trauma ◽  
Pathological Process ◽  
Missing Teeth ◽  
Implant Placement ◽  
Immediate Placement ◽  
Immediate Implant ◽  
Placement Success

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.

scholarly journals Molar Septum Expansion with Osseodensification for Immediate Implant Placement, Retrospective Multicenter Study with Up-to-5-Year Follow-Up, Introducing a New Molar Socket Classification

2021 ◽  
Vol 12 (4) ◽  
pp. 66
Author(s):  
Samvel Bleyan ◽  
João Gaspar ◽  
Salah Huwais ◽  
Charles Schwimer ◽  
Ziv Mazor ◽  
...  
Keyword(s):  
Survival Rate ◽  
Site Preparation ◽  
Insertion Torque ◽  
Implant Survival ◽  
Implant Placement ◽  
Implant Survival Rate ◽  
Immediate Implants ◽  
Immediate Implant ◽  
The Mean ◽  
Molar Extraction

The ideal positioning of immediate implants in molar extraction sockets often requires the osteotomy to be in the interradicular septum, which can be challenging in some cases, with traditional site preparation techniques. Patients who had undergone molar tooth extraction and immediate implant placement at five different centers, and followed up between August 2015 and September 2020, were evaluated. Inclusion criteria were use of the osseodensification technique for implant site preparation. The primary outcome was septum width measurement pre-instrumentation and osteotomy diameter post expansion. Clinical outcomes, such as implant insertion torque (ISQ) and implant survival rate, were also collected. A total of 131 patients, who received 145 immediate implants, were included. The mean overall septum width at baseline was 3.3 mm and the mean osteotomy diameter post instrumentation was 4.65 mm. A total of ten implants failed: seven within the healing period and three after loading; resulting in a cumulative implant survival rate of 93.1%. This retrospective study showed that osseodensification is a predictable method for immediate implant placement with interradicular septum expansion in molar extraction sockets. Furthermore, it allowed the introduction of a new molar socket classification. In the future, well-designed controlled clinical studies are needed to confirm these results and further explore the potential advantages of this technique.

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