Immediate implant placement with management of combined gingival and alveolar fenestration in a maxillary central incisor

2018 ◽  
Author(s):  
Mayra Rendón-Medina
Keyword(s):  
Central Incisor ◽  
Maxillary Central Incisor ◽  
Implant Placement ◽  
Immediate Implant

scholarly journals Maxillary Incisive Canal Characteristics: A Radiographic Study Using Cone Beam Computerized Tomography

2019 ◽  
Vol 2019 ◽  
pp. 1-5 ◽  
Author(s):  
Penala Soumya ◽  
Pradeep Koppolu ◽  
Krishnajaneya Reddy Pathakota ◽  
Vani Chappidi
Keyword(s):  
Central Incisor ◽  
Anatomic Structure ◽  
Incisive Canal ◽  
Maxillary Central Incisor ◽  
Implant Placement ◽  
Mean Width ◽  
Immediate Implant ◽  
Thin Bone ◽  
Incisive Foramen ◽  
The Mean

Background. The incisive canal located at the midline, posterior to the central incisor, is an important anatomic structure of this area to be considered while planning for immediate implant placement in maxillary central incisor region. The purpose of the present study is to assess incisive canal characteristics using CBCT sections. Materials and Methods. CBCT scans of 79 systemically healthy patients, with intact maxillary incisors, were evaluated by two calibrated and independent examiners. Assessments included (1) mesiodistal diameter, (2) labiopalatal diameter, (3) length of the incisive canal, (4) shape of incisive canal, and (5) width of the bone anterior to the incisive foramen. Results. The mean width of the foramen labiopalatally and mesiodistally was 3.12 ± 0.94 mm and 3.23 ± 0.98 mm, respectively. Mean canal length was 18.63 ± 2.35 mm and males have significantly longer incisive canal than females. The mean width of bone anterior to the incisive canal was 6.32 ± 1.43 mm. As age of the subjects increased, incisive foramen diameter and incisive canal length were found to be increased. Cylindrical shaped incisive canals were seen in most of the individuals followed by funnel shaped and hour-glass shaped canals, and banana-like canal is least prevalent type. Conclusion. The findings from the present study suggest that the diameter and length of incisive canal vary among different individuals and presence of very thin bone anterior to the canal would suggest that a pretreatment CBCT scan is a valuable tool to evaluate anatomic variations, morphology, and dimensions of incisive foramen before immediate implant placement in maxillary central incisor region.

scholarly journals Immediate implant placement in the maxillary central incisor region: A case report

2012 ◽  
Vol 56 (1) ◽  
pp. 47-52
Author(s):  
Hideshi Sekine ◽  
Tatsuo Taguchi ◽  
Miki Yamagami ◽  
Fumiyori Matsuzaki ◽  
Takuya Takanashi ◽  
...  
Keyword(s):  
Case Report ◽  
Central Incisor ◽  
Maxillary Central Incisor ◽  
Implant Placement ◽  
Immediate Implant

Prevalence of favourable anatomy for palatal emergence of an immediate implant in the maxillary central incisor post-extraction site.

2021 ◽  
Author(s):  
andoni jones ◽  
david chávarri-prado ◽  
markel diéguez-pereira ◽  
alejandro estrada-martínez ◽  
miguel beltrán-guijarro ◽  
...  
Keyword(s):  
Minimum Distance ◽  
Central Incisor ◽  
Anatomical Structures ◽  
3D Images ◽  
Maxillary Central Incisor ◽  
Implant Placement ◽  
Planning Software ◽  
Extraction Site ◽  
Immediate Implants ◽  
Immediate Implant

The purpose of this study was to determine the prevalence of favourable anatomy for palatal emergence of an immediate flapless implant in the maxillary central incisor post-extraction site. Implants were virtually placed into maxillary central incisor sites using 3D implant planning software. Following a strict implant placement criteria to keep a safety distance to the buccal plate and other anatomical structures, sockets where assessed to determine their suitability for a palatally emerging implant. From 321 patients included in this study, 62.3% presented a suitable socket anatomy for an immediate implant to be placed with the angulation for a screw retained crown. In 29% of the cases, the implants had to be labially tilted to keep a minimum distance to the buccal plate. 8.7% were unsuitable for immediate implants due to anatomic limitations. The position and angulation for an implant  in  the  maxillary  central  incisor  socket  should  be  carefully  assessed  preoperatively  with  3D  images,  as  many  sites  will  not  be  candidates  for  a  palatal  emergence and thus, a  screw  retained  restoration.

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.

scholarly journals Correction of Malpositioned Implants through Periodontal Surgery and Prosthetic Rehabilitation Using Angled Abutment

2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
Érica Dorigatti de Avila ◽  
Rafael Scaf de Molon ◽  
Luiz Antônio Borelli de Barros-Filho ◽  
Marcelo Ferrarezi de Andrade ◽  
Francisco de Assis Mollo ◽  
...  
Keyword(s):  
Alveolar Bone ◽  
Traumatic Injury ◽  
Treatment Protocol ◽  
Interdisciplinary Approach ◽  
Central Incisor ◽  
Maxillary Central Incisor ◽  
Maxillary Tooth ◽  
Immediate Implant ◽  
Provisional Restoration ◽  
Atraumatic Extraction

When dental implants are malpositioned in relation to the adjacent teeth and alveolar bone or in an excessive buccal or lingual position, the final prosthesis rehabilitation impairs the peri-implant health of the gingival tissues and the aesthetics of the patient. Thus, the purpose of this case was to report and discuss a multidisciplinary protocol for the treatment of a compromised maxillary tooth in a patient with an abscess in his right central incisor due to an excessive buccal implant position. The patient presented with an implant-supported provisional restoration on his right maxillary central incisor and a traumatic injury in his left central incisor. The treatment protocol consisted in (i) abutment substitution to compensate the incorrect angulation of the implant, (ii) clinical crown lengthening, (iii) atraumatic extraction of the left central incisor, and (iv) immediate implant placement. Finally, (v) a custom abutment was fabricated to obtain a harmonious gingival contour around the prosthetic crown. In conclusion, when implants are incorrectly positioned in relation to the adjacent teeth, associated with soft-tissue defects, the challenge to create a harmonious mucogingival contours may be achieved with an interdisciplinary approach and with the placement of an appropriate custom abutment.

scholarly journals Ten Year Clinical and Aesthetic Outcomes of an Immediately Placed and Restored Implant in the Anterior Maxilla: A Case Report

Prosthesis ◽  
2021 ◽  
Vol 3 (2) ◽  
pp. 129-136
Author(s):  
Himanshu Arora ◽  
Sašo Ivanovski
Keyword(s):  
Case Report ◽  
Treatment Time ◽  
Anterior Maxilla ◽  
Maxillary Central Incisor ◽  
Implant Placement ◽  
Healing Phase ◽  
Tissue Changes ◽  
Immediate Implant ◽  
Provisional Restoration

The nature of immediate implant placement followed by an immediate restoration protocol makes it particularly suited to the anterior maxilla. In addition to saving treatment time and avoiding additional surgical procedures, this protocol has been reported to improve aesthetic outcomes by supporting the peri-implant tissues during the implant healing phase through the use of a provisional restoration. This case report documents the use of this protocol in a patient with a failing maxillary anterior tooth and reports on the soft and hard tissue changes over an observation period of 10 years. An implant was immediately placed after removal of a failing maxillary central incisor followed by the provision of a screw retained provisional crown on the same day. A definitive restoration was placed after a 3-month healing period. Not only did this protocol manage to maintain peri-implant bone levels over the 10-year follow-up period, excellent aesthetic outcomes and very limited soft tissue recession were observed with the use of this technique.

scholarly journals Immediate Implant Placement with Simultaneous Regenerative Procedure in Fresh Extraction Socket

2017 ◽  
Vol 8 (3) ◽  
pp. 231-238
Author(s):  
Rafael S de Molon
Keyword(s):  
Surgical Techniques ◽  
Bone Volume ◽  
Bone Plate ◽  
Careful Examination ◽  
Comprehensive Treatment ◽  
Safe Procedure ◽  
Central Incisor ◽  
Extraction Socket ◽  
Implant Placement ◽  
Immediate Implant

ABSTRACT Aim The aim of this case report was to reconstruct the alveolar buccal bone plate lost in consequence of a root fracture in the maxillary central incisor area after immediate implant placement (IIP). A 48-year-old patient was referred to our office with the chief complaint of spontaneous bleeding in his left central incisor. After careful examination, the following comprehensive treatment approach was carried out: (1) Atraumatic tooth extraction, (2) IIP, (3) provisional prosthesis installation, (4) alveolar buccal bone plate reconstruction with autologous bone collected from the maxillary tuberosity, (5) gingival augmentation procedure with connective tissue graft removed from the palate, and finally (6) adjustment of the provisional restoration. After 1-year postoperative, an adequate esthetic outcome was achieved with lower cost, reduced morbidity to the patient, and lower treatment time. This approach was able to improve gingival architecture and bone volume with adequate thickness and width, enhancing patient esthetics and satisfaction. In conclusion, when proper diagnosis, precise surgical techniques, and appropriate multidisciplinary approach are employed, IIP followed by immediate dentoalveolar restoration might be considered a safe procedure to restore the peri-implant bone and gingival recession favoring the achievement of appropriate esthetic outcomes. Clinical significance The treatment planning employed was able to improve gingival architecture and bone volume with sufficient width and thickness enhancing patient esthetics and satisfaction in one single-stage procedure. How to cite this article de Molon RS, de Avila ED, Barros- Filho LAB, Cirelli JA, Borelli-Barros LA. Immediate Implant Placement with Simultaneous Regenerative Procedure in Fresh Extraction Socket. World J Dent 2017;8(3):231-238.

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