scholarly journals Changes in Hard and Soft Tissue During the First 6 Months After Immediate Implant Placement and Provisionalization of a Single Anterior Maxillary Incisor: A Prospective Cohort Study

2021 ◽  
Author(s):  
Donghao Wei ◽  
Xi Jiang ◽  
Ping Di ◽  
Jiehua Tian ◽  
Ye Lin
Keyword(s):  
Soft Tissue ◽  
Tooth Extraction ◽  
Three Dimensional ◽  
Maxillary Incisor ◽  
Strong Correlations ◽  
Hard Tissue ◽  
Implant Placement ◽  
Soft Tissue Thickness ◽  
Immediate Implant ◽  
Contour Change

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.

scholarly journals In-Office Guided Implant Placement for Prosthetically Driven Implant Surgery

2017 ◽  
Vol 10 (3) ◽  
pp. 246-254 ◽  
Author(s):  
Daryoush Karami ◽  
Hamid Reza Alborzinia ◽  
Reza Amid ◽  
Mahdi Kadkhodazadeh ◽  
Navid Yousefi ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Direct Observation ◽  
Three Dimensional ◽  
Hard Tissue ◽  
Tissue Thickness ◽  
Computed Tomographic ◽  
Implant Placement ◽  
Soft Tissue Thickness ◽  
Ct Data ◽  
The Cost

Application of surgical stents for implant placement via guided flapless surgery is increasing. However, high cost, need for some professional machines, and not taking into account the soft-tissue parameters have limited their application. We sought to design and introduce a technique named in-office guided implant placement (iGIP) to decrease the cost by using available devices in office and enhance the applicability of surgical stents. A customized surgical stent was fabricated based on prosthetic, soft- and hard-tissue parameters by taking into account the amount of available bone (using the computed tomographic [CT] data), soft-tissue thickness and contour (using a composite-covered radiographic stent), and position of the final crown (by diagnostic cast wax up and marking the final crown position with composite). The efficacy of iGIP, in terms of the accuracy of the three-dimensional position of the implant placed in the study cast and in patient's mouth, was confirmed by direct observation and postoperative CT. The iGIP can enhance implant placement in the prosthetically desired position in various types of edentulism. Using this technique minimizes the risk of unwanted consequences, as the soft-tissue thickness and contour are taken into account when fabricating a surgical stent.

scholarly journals Does the pre-operative buccal soft tissue level at teeth or gingival phenotype dictate the aesthetic outcome after flapless immediate implant placement and provisionalization? Analysis of a prospective clinical case series

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Edith Groenendijk ◽  
Ewald Maria Bronkhorst ◽  
Gert Jacobus Meijer
Keyword(s):  
Soft Tissue ◽  
Clinical Case ◽  
Case Series ◽  
Tissue Level ◽  
Series Data ◽  
Maxillary Incisor ◽  
Aesthetic Outcome ◽  
Implant Placement ◽  
Immediate Implant ◽  
Gingival Phenotype

Abstract Background Immediate implant placement (IIP) often is related to mid-buccal recession in literature. To draw conclusions about the behavior of the soft tissues following IIP, pre-operative aesthetic measurements have to be taken into account. The aim of analysis of these prospective clinical case series data was to elucidate whether the pre-operative buccal soft tissue level (STL) or gingival phenotype influence the 1-year pink aesthetic outcome after performing flapless immediate implant placement and provisionalization (FIIPP) maxillary incisor cases. Materials and methods In 97 patients, a maxillary incisor was replaced performing FIIPP. STL and phenotype were analyzed on light-photographs made pre-operatively (T0), direct post-operatively (T1), after placement of the permanent crown (T2), and 1 year post-operatively (T3). To investigate if a pre-operative buccal soft tissue deficiency or excess influenced the total pink esthetic score (total-PES) per patient at T3, PES-3 was modified by adding a minus (“−”) or plus (“+”) in case of a STL-deficiency or excess, respectively. Results Pre-operatively, 40% of the cases showed a mid-buccal recession (STL-deficiency), 19% STL-excess, while in 41% an equal level in comparison with the contra-lateral tooth was observed (STL-neutral). One year post-operatively, 79% (31/39) of the recession cases showed soft tissue gain, while STL-excess cases showed the highest rate of soft tissue reduction (94%; 17/18). This resulted in a decrease of soft tissue recessions and excesses (to 26% and 4%, respectively), and an increase of ideal STL (PES-3-score 2) to 70%. The 1-year aesthetic outcome was not statistically different (p = 0.577) between patients with a pre-operative soft tissue recession (mean T3 total-PES = 12.18) or STL excess (mean T3 total-PES = 11.94). Of the total population, 71 patients with a thin, and 26 with a thick phenotype were evaluated. No statistical difference (p = 0.08) was present in aesthetic outcome between the two phenotypes (thin mean T3 total-PES = 12.30, thick mean T3 total-PES = 11.65). Conclusion Regardless of phenotype, preoperative soft tissue recession, or excess, comparable high aesthetic outcomes were achieved 1 year post-operatively. Trial registration Ethical approval was obtained and registered on 20 October 2015 (NTR5583/NL4170).

scholarly journals The effect of soft tissue augmentation on the clinical and radiographical outcomes following immediate implant placement and provisionalization: a systematic review and meta-analysis

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Paolo De Angelis ◽  
Paolo Francesco Manicone ◽  
Edoardo Rella ◽  
Margherita Giorgia Liguori ◽  
Silvio De Angelis ◽  
...  
Keyword(s):  
Systematic Review ◽  
Soft Tissue ◽  
Bone Loss ◽  
Intervention Group ◽  
Tissue Thickness ◽  
Marginal Bone Loss ◽  
Facial Soft Tissue ◽  
Implant Placement ◽  
Soft Tissue Thickness ◽  
Immediate Implant

Abstract Background Nowadays, due to the esthetic and social demands of patients, conventional staged protocols seem to be increasingly replaced by faster, one-step protocols. The purpose of the present systematic review is to assess the peri-implant soft tissue changes after immediate implant placement and provisionalization (IIPP) comparing patients treated with or without a sub-epithelial connective tissue graft (SCTG) when replacing a single tooth in the esthetic region. Methods The present systematic review was written following the PRISMA checklist. Immediate implants placed with a connective tissue graft and without one were compared. The researched primary outcomes were the mid-buccal mucosa level (MBML) facial soft tissue thickness (FSTT) and marginal bone loss (MBL). The weighted mean differences (WMD) were estimated for all three outcomes. Results The change in the mid-buccal mucosa level in the intervention group was significantly higher (WMD 0.54; 95% CI 0.33–0.75), with no indication of heterogeneity (I2 = 16%). The facial soft tissue thickness increased significantly in the intervention group (WMD 0.79; 95% CI 0.37–1.22). The marginal bone loss was significantly higher in the control group (WMD 0.13; 95% CI 0.07–0.18), with no indication of heterogeneity (I2 = 0%). Conclusions The results of the meta-analyses showed a statistically significant reduced change of the marginal bone loss and vestibular recession, as well as higher soft tissue thickness, when a graft was used. The included studies had a short observation time; therefore, studies with longer follow-ups are needed to confirm these findings.

scholarly journals The “One Piece” Autologous Tuberosity Graft: A Contemporary Concept in Ridge Preservation

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Ronald Younes ◽  
Carla Maria Khairallah
Keyword(s):  
Soft Tissue ◽  
Tooth Extraction ◽  
Practical Approach ◽  
Ridge Preservation ◽  
Hard Tissue ◽  
Extraction Socket ◽  
Tissue Graft ◽  
Implant Placement ◽  
The One ◽  
Maxillary Tuberosity

Tooth extraction causes major changes to the ridge, rendering implant placement a more challenging procedure. Proper management of the socket is necessary to ensure sufficient bone and soft tissue for a successful implant-supported prosthesis. This article presents a practical approach for autologous hard and soft tissue grafting. A soft and hard tissue graft is harvested in one piece from the maxillary tuberosity and stabilized in the extraction socket.

scholarly journals ANTERIOR MAXILLARY IMMEDIATE IMPLANT AFTER EXTRACTION WITH CLOSE LOADING TEMPORARY CROWN

2021 ◽  
Vol 1 (Volume 1 No 2) ◽  
pp. 142-152
Author(s):  
Dewi Lidya Ichawana ◽  
Mirza Aquaries
Keyword(s):  
Tooth Extraction ◽  
Maxillary Incisor ◽  
Treatment Procedure ◽  
Time Saving ◽  
Implant Placement ◽  
Crestal Bone Loss ◽  
Second Surgery ◽  
Immediate Implant ◽  
Implant Treatment ◽  
Grafting Procedure

Immediate implant placement after extraction is a dental implant treatment procedure reported in several case studies with satisfactory results for patients and less crestal bone loss around the implant. This case report describes the method of immediate implant placement after extraction. It directs temporary crown placement in a female patient with failed post-endodontic treatment restoration on the maxillary incisor. The procedure was performed under local anesthesia, preceded by tooth extraction and socket cleaning post-extraction, followed by the implant and bone grafting procedure, then finalized by provisionalization. The immediate implant procedure is a simple and time-saving technique. No second surgery is required, such as delayed implant procedure, but the operator's good analytical, diagnostic, and planning skills in its implementation.

scholarly journals Use of Collagen Matrix for Augmentation of the Peri-implant Soft Tissue at the Time of Immediate Implant Placement

2017 ◽  
Vol 18 (5) ◽  
pp. 386-391 ◽  
Author(s):  
Gregor-Georg Zafiropoulos ◽  
Gordon John
Keyword(s):  
Soft Tissue ◽  
Connective Tissue ◽  
Collagen Matrix ◽  
Good Alternative ◽  
Soft Tissue Augmentation ◽  
Implant Placement ◽  
Soft Tissue Thickness ◽  
Group I ◽  
Control Regimen ◽  
Immediate Implant

ABSTRACT Aim The aim of this study was to determine the treatment outcome of the use of a porcine monolayer collagen matrix (mCM) to augment peri-implant soft tissue in conjunction with immediate implant placement as an alternative to patient's own connective tissue. Materials and methods A total of 27 implants were placed immediately in 27 patients (14 males and 13 females, with a mean age of 52.2 years) with simultaneous augmentation of the soft tissue by the use of a mCM. The patients were randomly divided into two groups: Group I: An envelope flap was created and mCM was left coronally uncovered, and group II: A coronally repositioned flap was created and the mCM was covered by the mucosa. Soft-tissue thickness (STTh) was measured at the time of surgery (T0) and 6 months postoperatively (T1) using a customized stent. Cone beam computed tomographies (CBCTs) were taken from 12 representative cases at T1. A stringent plaque control regimen was enforced in all the patients during the 6-month observation period. Results Mean STTh change was similar in both groups (0.7 ± 0.2 and 0.7 ± 0.1 mm in groups I and II respectively). The comparison of STTh between T0 and T1 showed a statistically significant increase of soft tissue in both groups I and II as well as in the total examined population (p<0.001). The STTh change as well as matrix thickness loss were comparable in both groups (p>0.05). The evaluation of the CBCTs did not show any signs of resorption of the buccal bone plate. Conclusion Within the limitations of this study, it could be concluded that the collagen matrix used in conjunction with immediate implant placement leads to an increased thickness of peri-implant soft tissue independent of the flap creation technique and could be an alternative to connective tissue graft. Clinical significance The collagen matrix used seems to be a good alternative to patient's own connective tissue and could be used for the soft tissue augmentation around dental implants. How to cite this article Zafiropoulos GG, John G. Use of Collagen Matrix for Augmentation of the Peri-implant Soft Tissue at the Time of Immediate Implant Placement. J Contemp Dent Pract 2017;18(5):386-391.

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