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 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.

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 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 IMMEDIATE IMPLANT PLACEMENT WITHOUT FLAP ELEVATION - A REVIEW

2014 ◽  
Vol 04 (03) ◽  
pp. 131-137
Author(s):  
Vinaya Bhat ◽  
Mahek R. Bangawala
Keyword(s):  
Selection Criteria ◽  
Aesthetic Outcome ◽  
Factors Affecting ◽  
Implant Placement ◽  
Case Selection ◽  
Mucoperiosteal Flap ◽  
Immediate Implant ◽  
The Aesthetic ◽  
Flap Elevation ◽  
Selection Of

Abstract Background: Not elevating a flap has its own advantages in preserving soft tissue contour around the implant. Thus, aesthetic outcome will be best achievable in anterior region with immediate implant placement without flap elevation. Summary of content: In present era, the outcome of placing implants into teeth sockets immediately following extraction is as predictable as placing into healed sockets. This procedure can be completed in two ways, one is with mucoperiosteal flap elevation and the other is without flap elevation.This review article explains the indications, contraindications & factors affecting immediate implant placement without flap elevation. Furthermore it explains advantages - disadvantages of this procedure, case selection criteria & present approach towards this procedure. Conclusion: Immediate dental implant placement in extraction sockets has been practiced universally from time to time. The advantage of this procedure over the conventional implant placement is obvious and especially so in the aesthetic zone. However careful selection of the patients and meticulous surgical procedure are critical in achieving success in Immediate Implant Placement without flap elevation.

Immediate implant placement and provisionalisation in the aesthetic zone

2016 ◽  
Vol 43 (10) ◽  
pp. 745-752 ◽  
Author(s):  
W. G. Van Nimwegen ◽  
R. J. Goené ◽  
A. C. L. Van Daelen ◽  
K. Stellingsma ◽  
G. M. Raghoebar ◽  
...  
Keyword(s):  
Implant Placement ◽  
Immediate Implant ◽  
The Aesthetic

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.

Sign in / Sign up

Export Citation Format

Share Document