scholarly journals Buccal Bone Thickness in Anterior and Posterior Teeth—A Systematic Review

Healthcare ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 1663
Author(s):  
Diana Heimes ◽  
Eik Schiegnitz ◽  
Robert Kuchen ◽  
Peer W. Kämmerer ◽  
Bilal Al-Nawas
Keyword(s):  
Dental Implant ◽  
Meta Analysis ◽  
Daily Practice ◽  
Frontal Region ◽  
Bone Thickness ◽  
Posterior Teeth ◽  
Implant Placement ◽  
Alveolar Crest ◽  
Immediate Implant ◽  
Selection Of

(1) Background: Immediate dental implant placement has been a subject of great interest over the last decade. Here, information regarding the anatomy and bone thickness of the jaw prior to dental implant placement is crucial to increase the surgery’s success and the patient’s safety. The clinical premises for this approach have been controversially discussed. One of those heavily discussed premises is a buccal bone thickness of at least 1 mm thickness. This meta-analysis aims to systematically review buccal bone thickness (BBT) in healthy patients. Thus, the feasibility of immediate dental implant placement in daily practice can be assessed. (2) Methods: A search in the electronic databases was performed to identify articles reporting on BBT that was measured by computed tomography in adults. (3) Results: We were able to find 45 studies, including 4324 patients with 25,452 analyzed teeth. The analysis showed a BBT at the alveolar crest of 0.76 ± 0.49 mm in the maxillary frontal and of 1.42 ± 0.74 mm in the maxillary posterior region. In the mandible, the average measured values were similar to those in the maxilla (front: 0.95 ± 0.58 mm; posterior: 1.20 ± 0.96 mm). In the maxillary frontal region 74.4% and in the mandibular frontal region 61.2% of the crestal buccal bones showed widths <1 mm. (4) Conclusions: In more than 60% of the cases, the BBT at the alveolar crest is <1 mm in maxillary and mandibular frontal regions. This anatomic data supports careful pre-surgical assessment, planning of a buccal graft, and critical selection of indication for immediate implant placement, especially in the maxillary and mandibular frontal and premolar region.

scholarly journals Risk assessment of labial bone perforation in the anterior mandibular region: a virtual immediate implant placement study

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Yi-Wen Cathy Tsai ◽  
Ren-Yeong Huang ◽  
Chia-Dan Cheng ◽  
Wan-Chien Cheng ◽  
David L. Cochran ◽  
...  
Keyword(s):  
Estimating Equation ◽  
Class Ii ◽  
Multivariable Logistic Regression Analysis ◽  
Bone Thickness ◽  
Cavity Depth ◽  
Implant Placement ◽  
Anterior Teeth ◽  
Confounding Variables ◽  
Mandibular Region ◽  
Immediate Implant

Abstract Background This study investigated the prevalence of labial bone perforation (LBP) related to the associated anatomic factors in anterior mandibular region using a virtual immediate implant placement procedure. Methods Series qualified CBCT images of 149 participants (894 teeth) were selected to analyze the assigned anatomical parameters, including concavity depth, concavity angle, torque, and deep bone thickness. Four classes of crestal and radicular dentoalveolar bone phenotypes (CRDAPs) of mandibular anterior teeth were categorized according to the thickness of dentoalveolar bone at both crestal and radicular zones. Data were adjusted for categorical (gender and CRDAP) and continuous (age, cavity angle, cavity depth, and deep bone thickness) variables using a multivariable logistic regression analysis with generalized estimating equation method. Results The overall probability of LBP after virtual implant placement was 21.6%. There is statistically significant higher prevalence of LBP at canine (28.5%) and CRDAP class II (29.2%) regions (p < 0.001). After adjusting confounding variables, CRDAP class II and class IV regions are more likely to have LBP when compared with CRDAP class I (control) regions (p < 0.01). The risk of LBP at canine site is 6.31 times more likely than at the central incisor (control) (p < 0.01). Conclusions Using a virtual immediate implant placement technique, the prevalence of LBP is significantly higher at the mandibular canine site and thin radicular dentoalveolar phenotype in the anterior mandibular region.

“THE PROSTHODONTIC TREATMENT OF UNFAVOURABLE POSITIONED IMPLANT IN ANTERIOR MAXILLA”- A CASE REPORT.

2021 ◽  
pp. 29-30
Author(s):  
Deepika Sharma ◽  
Tarun Gaur ◽  
Karunakaran Keshav
Keyword(s):  
Case Report ◽  
Dental Implant ◽  
Treatment Option ◽  
Successful Treatment ◽  
Bone Thickness ◽  
Facial Bone ◽  
Anterior Maxilla ◽  
Implant Placement ◽  
Good Treatment Option ◽  
Implant Treatment

With the advancement in the dental implant treatment, many new innovative improvements have been developed in the designs and components of implants. These improvements helps to handle the compromising situations where sometimes the good treatment option can become more challenging. One of the such grueling condition is implant placement in the anterior maxilla where dentist has to fulll both aesthetic and functional demand. Many aesthetic failures of implant have been reported in the literature in the anterior maxilla. One of them is placing implant in sites with deciency of facial bone thickness which sometimes resulted in malposition of implant. This case report discusses about the prosthodontic correction of malpositioned implant in the anterior maxilla by using castable abutment. The use of castable abutment is concluded as successful treatment option for complex misaligned and malposed single dental implant.

scholarly journals Implant Therapy in the Esthetic Zone-Surgical Considerations

2016 ◽  
Vol 20 (2) ◽  
pp. 83-88 ◽  
Author(s):  
Aleksa Marković ◽  
T. Mišić
Keyword(s):  
Treatment Time ◽  
Implant Positioning ◽  
Implant Placement ◽  
Individual Assessment ◽  
Complex Procedure ◽  
Immediate Implant ◽  
Implant Therapy ◽  
And Function ◽  
Selection Of

Summary Implant placement in the esthetic zone is a complex procedure and requires a restoration-driven approach. Proper selection of patients and implant together with individual assessment of the risk of esthetic complications are very important. Correct 3D-implant positioning and sufficient bone volume should provide long-term esthetic and function. Esthetic region is a zone in which expectations and possibilities collide. Clinician should bring the important decision on the appropriate time of implant placement. Immediate implant placement is particularly challenging in the esthetic zone. Patient desire for reduced treatment time should be weighed against the possible risk factors. Protocol of immediate implant placement in conditions of unfavourable gingival biotypes, the lack of bone or soft tissue in patients with a high smile line lead to esthetic failure which is very important in the esthetic region.

scholarly journals Outcome of early dental implant placement versus other dental implant placement protocols: A systematic review and meta‐analysis

2018 ◽  
Vol 90 (5) ◽  
pp. 493-506 ◽  
Author(s):  
Seyed Hossein Bassir ◽  
Karim El Kholy ◽  
Chia‐Yu Chen ◽  
Kyu Ha Lee ◽  
Giuseppe Intini
Keyword(s):  
Systematic Review ◽  
Dental Implant ◽  
Meta Analysis ◽  
Implant Placement

scholarly journals Comparative Evaluation of Cortical Bone Anatomy of Mandibular Buccal Shelf for Mini Implant Placement in Different Facial Divergence: A Cone Beam Computed Tomography Study

2020 ◽  
Vol 54 (4) ◽  
pp. 325-331
Author(s):  
Kalyani Trivedi ◽  
Bharvi K Jani ◽  
Sagar Hirani ◽  
Mansi V Radia
Keyword(s):  
Computed Tomography ◽  
Cortical Bone ◽  
Cone Beam Computed Tomography ◽  
Cone Beam ◽  
Bone Surface ◽  
Bone Thickness ◽  
Second Molar ◽  
Cortical Bone Thickness ◽  
Implant Placement ◽  
Alveolar Crest

Aim: The purpose of this study was to use measurements from cone beam computed tomography scans to quantify the cortical bone thickness of mandibular buccal shelf region and preferable site for buccal shelf implant placement in 10 hyperdivergent and 10 hypodivergent patients. Method: 20 cone beam computed tomographies were equally divided based on divergence. 6 sites were examined: mesial of first molar (6M), middle of first molar (6Mi), interdental between the first and second molar (Id), mesial of second molar (7M), middle of second molar (7Mi), and distal of second molar (7D). The study quantified the mandibular buccal shelf relative to its angle of slope, the cortical bone thickness measured perpendicular to the bone surface, the amount of cortical bone 30° angle to the bone surface. The cortical bone thickness was measured perpendicular and at a 30° angle at 3, 5, and 7 mm from the alveolar crest. Result: Significant change is seen at the buccal shelf slope at 6M ( P = .001) and further increase in this angle till 7D ( P = .003). Mean amount of cortical bone for hyperdivergent group at 7D is 4.77 ± 0.68 mm and for hypodivergent group is 3.86 ± 0.70 mm. Statistically significant differences were noted at insertion site at 90° and 30° for both groups at 3, 5, and 7 mm from the alveolar crest. Conclusion: Preferable site for buccal shelf implant placement is distal to the mandibular second molar. The maximum amount of cortical bone is found distal to the second molar 7 mm vertically from alveolar crest when the buccal shelf implant is placed at 30° angulation for hyperdivergent group.

The socket shield technique for immediate implant placement: A systematic review and meta‐analysis

2021 ◽  
Author(s):  
Momen A. Atieh ◽  
Maanas Shah ◽  
Mohammed Abdulkareem ◽  
Haif A. AlQahtani ◽  
Nabeel H. M. Alsabeeha
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Implant Placement ◽  
Immediate Implant

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.

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