scholarly journals Tissue Recession around a Dental Implant in Anterior Maxilla: How to Manage Soft Tissue When Things Go Wrong?

Prosthesis ◽  
2021 ◽  
Vol 3 (3) ◽  
pp. 209-220
Author(s):  
Uccioli Umberto ◽  
Fonzar Alberto ◽  
Lanzuolo Stefania ◽  
Meloni Silvio Mario ◽  
Lumbau Aurea Immacolata ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Soft Tissue ◽  
Gold Standard ◽  
Orthodontic Treatment ◽  
Tooth Extraction ◽  
Decision Making Process ◽  
Anterior Maxilla ◽  
Socket Preservation ◽  
Connective Tissue Graft ◽  
Implant Placement

Dental implants represent the gold standard for the treatment of single edentulism, even in anterior areas. Today, the basic criteria for implant success has changed from mobility, pain, radiolucency, and peri-implant bone loss (>1.5 mm) to prosthetic level success, aesthetics, soft tissue parameters, as well as patient satisfaction. This case report documents a combination of surgical and prosthetic procedures for the treatment of gingival recessions in the anterior maxilla, appearing after tooth extraction, socket preservation, and staged guided implant placement. Prosthetic management of the temporary restoration, orthodontic treatment, and a connective tissue graft were performed. The decision-making process and step-by-step execution of the treatments are presented to describe the entire clinical and surgical management of the reported case. Finally, good aesthetic outcomes, patient satisfaction, and recovery of the soft tissue recession were observed with the combination of these techniques.

scholarly journals Immediate Loading of Single Post-Extractive Implants in the Anterior Maxilla: 12-Month Results From a Multicenter Clinical Study

2012 ◽  
Vol 38 (S1) ◽  
pp. 477-484 ◽  
Author(s):  
Tommaso Grandi ◽  
Giovanna Garuti ◽  
Rawad Samarani ◽  
Paolo Guazzi ◽  
Andrea Forabosco
Keyword(s):  
Clinical Study ◽  
Soft Tissue ◽  
Bone Resorption ◽  
Tooth Extraction ◽  
Immediate Loading ◽  
Insertion Torque ◽  
Anterior Maxilla ◽  
Implant Placement ◽  
Implant Size ◽  
Multicenter Clinical Study

The purpose of the study was to evaluate survival and peri-implant bone levels of single, immediately loaded post-extractive implants in the anterior maxilla 12 months after implant placement. Thirty-six consecutive patients from 3 study centers were included in the study. The concerned sites were upper premolars, canines, and incisors. For each patient the following data were recorded: reason for tooth extraction, bone quality, implant size, and final insertion torque. Implants were placed using a flapless technique and immediately loaded with a nonoccluding temporary restoration. Final restorations were provided 4 months later. Peri-implant bone resorption was evaluated radiographically after 6 and 12 months. The average final insertion torque was 70.55 Ncm. One implant inserted in D3 quality bone with a 35-Ncm seating torque was lost. All other implants had a final insertion torque ranging between 50 and 80 Ncm. The average peri-implant bone loss was 0.437 and 0.507 mm at 6 and 12 months, respectively. All the sites maintained excellent papillae and peri-implant soft-tissue conditions. The resulting 1-year success rate was 97.2%. Immediate nonfunctional loading of single post-extractive implants in the anterior maxilla is a predictable treatment. And it seems that achieving high insertion torques by placing self-tapping/self-condensing implants in an underprepared osteotomy is favorable.

scholarly journals A case series of profilometric changes in two implant placement protocols at periodontally compromised non-molar sites

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Kwantae Noh ◽  
Daniel S. Thoma ◽  
Jung-Chul Park ◽  
Dong-Woon Lee ◽  
Seung-Yun Shin ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Tooth Extraction ◽  
Case Series ◽  
Tissue Level ◽  
Ridge Preservation ◽  
Bone Augmentation ◽  
Implant Placement ◽  
Alveolar Ridge Preservation ◽  
Tissue Changes ◽  
Facial Area

AbstractInformation regarding profilometric changes at a soft tissue level following implant placement with different protocols is insufficient. Therefore, this study aimed to comparatively investigate the profilometric tissue changes with respect to late implant placement following alveolar ridge preservation (LP/ARP) and early implantation (EP) in periodontally compromised non-molar extraction sites. Sixteen patients were randomly assigned to the following groups: implant placement 4 months post-ARP (group LP/ARP) and tooth extraction and implant placement 4–8 weeks post-extraction (group EP). Dental impressions were obtained immediately after final prosthesis insertion and at 3, 6, and 12 months. At the time of implant placement, bone augmentation was performed in the majority of the patients. Profilometric changes of the tissue contour were minimal between the final prosthesis insertion and 12 months in the mid-facial area (0.04–0.35 mm in group LP/ARP, 0.04–0.19 mm in group EP). The overall tissue volume increased in both groups (1.70 mm3 in group LP/ARP, 0.96 mm3 in group EP). In conclusion, LP/ARP and EP led to similar stability of the peri-implant tissue contour between the final prosthesis insertion and at 12 months. Moreover, the change of peri-implant tissue on the soft tissue level was minimal in both modalities.

scholarly journals Single-Tooth Morse Taper Connection Implant Placed in Grafted Site of the Anterior Maxilla: Clinical and Radiographic Evaluation

2014 ◽  
Vol 2014 ◽  
pp. 1-11 ◽  
Author(s):  
Francesco Guido Mangano ◽  
Piero Zecca ◽  
Fabrizia Luongo ◽  
Giovanna Iezzi ◽  
Carlo Mangano
Keyword(s):  
Bone Resorption ◽  
Tooth Extraction ◽  
Soft Tissues ◽  
Radiographic Evaluation ◽  
Reconstruction Technique ◽  
Anterior Maxilla ◽  
Reconstructive Procedures ◽  
Aesthetic Result ◽  
Implant Placement ◽  
Barrier Membrane

The aim of this study was to achieve aesthetically pleasing soft tissue contours in a severely compromised tooth in the anterior region of the maxilla. For a right-maxillary central incisor with localized advanced chronic periodontitis a tooth extraction followed by reconstructive procedures and delayed implant placement was proposed and accepted by the patient. Guided bone regeneration (GBR) technique was employed, with a biphasic calcium-phosphate (BCP) block graft placed in the extraction socket in conjunction with granules of the same material and a resorbable barrier membrane. After 6 months of healing, an implant was installed. The acrylic provisional restoration remained in situ for 3 months and then was substituted with the definitive crown. This ridge reconstruction technique enabled preserving both hard and soft tissues and counteracting vertical and horizontal bone resorption after tooth extraction and allowed for an ideal three-dimensional implant placement. Localized severe alveolar bone resorption of the anterior maxilla associated with chronic periodontal disease can be successfully treated by means of ridge reconstruction with GBR and delayed implant insertion; the placement of an early-loaded, Morse taper connection implant in the grafted site was effective to create an excellent clinical aesthetic result and to maintain it along time.

Minimally Invasive Treatment of Soft Tissue Deficiency Around an Implant-Supported Restoration in the Esthetic Zone: Modified VISTA Technique Case Report

2015 ◽  
Vol 41 (1) ◽  
pp. 71-76 ◽  
Author(s):  
Chun-Teh Lee ◽  
Techkouhie Hamalian ◽  
Ulrike Schulze-Späte
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Invasive Treatment ◽  
Anterior Maxilla ◽  
Connective Tissue Graft ◽  
Novel Technique ◽  
Single Tooth ◽  
Determining Factors ◽  
Potential Use ◽  
Tissue Defects

The horizontal and vertical soft tissue dimension around an implant-supported restoration in the maxillary anterior is one of the determining factors for achieving an esthetic result. In this case report, the patient presented with a deficiency in both dimensions around a single-tooth implanted-supported restoration in the anterior maxilla. The soft tissue defects were augmented with a connective tissue graft that was placed underneath the buccal peri-implant tissue using a frenum access incision and a supraperiosteal tunneling approach (modified vestibular Incision supraperiosteal tunnel access [VISTA] technique). This novel technique resulted in an increase in tissue height and width, which suggests its potential use around implant-supported restorations.

scholarly journals Comparison of Ability of Platelet-rich Fibrin vs CollaPlug in maintaining the Buccal Bone Height of Sockets following Extractions in 20 Patients

2017 ◽  
Vol 8 (1) ◽  
pp. 1-6
Author(s):  
Madhumati Singh ◽  
G Madhan
Keyword(s):  
Tooth Extraction ◽  
Negative Control ◽  
Socket Preservation ◽  
Platelet Rich Fibrin ◽  
Implant Placement ◽  
Group I ◽  
Bone Level ◽  
And Function ◽  
Tooth Removal ◽  
Bone Height

ABSTRACT Introduction The preservation of bone volume immediately after tooth removal is necessary to optimize the success of implant placement in terms of esthetics and function. The objectives of this study were to compare the ability of Choukroun's platelet-rich fibrin (PRF) versus CollaPlug (Zimmer) in maintaining the buccal bone height of sockets following extractions in patients. Materials and methods Twenty patients who required tooth extraction and implant placement were enrolled in this study. The patients were randomly divided into two groups. They are group I PRF group and group II CollaPlug group. The vertical buccal crestal bone heights were measured immediately after extraction and 4 months postextraction and implants were placed. Results The buccal crestal bone level in the CollaPlug group had a baseline mean of 4.67 ± 0.54 and a postmean of 6.98 ± 0.60, whereas in the PRF group baseline mean was 5.43 ± 0.47 and postmean was 6.93 ± 0.55. The bone resorption was found in both the groups (2.31 mm for CollaPlug and 1.5 mm for PRF), in agreement with previous studies. However, there was increased bone loss in CollaPlug group compared with PRF group, which was found statistically significant. Conclusion In conclusion, within the limits of the present study, the two tested socket preservation materials seem to be effective in the treatment of extraction sockets, even though the design of the study did not allow us to evaluate to what extent the clinical improvement could be attributed to the PRF per se, since a negative control was not included in this investigation. However, preparation of PRF is not very cumbersome and inexpensive, which makes it a better socket preservation material than CollaPlug. How to cite this article Madhan G, Singh M. Comparison of Ability of Platelet-rich Fibrin vs CollaPlug in maintaining the Buccal Bone Height of Sockets following Extractions in 20 Patients. J Health Sci Res 2017;8(1):1-6.

Overgrowth of soft tissues after transplantation of a connective tissue graft for the treatment of gingival recession

2020 ◽  
Vol 13 (12) ◽  
pp. e238816
Author(s):  
Igor Ashurko ◽  
Eduard Levonian ◽  
Ilia Dementev ◽  
Svetlana Tarasenko
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Connective Tissue ◽  
Gold Standard ◽  
Hard Palate ◽  
Soft Tissues ◽  
Gingival Recession ◽  
Connective Tissue Graft ◽  
Tissue Graft

The application of free connective tissue graft (CTG) is the gold standard in the treatment of gingival recession in the area of teeth and implants. The aim of this case report is to demonstrate a possible mucosal overgrowth complication in the soft tissue grafting area. A 24-year-old patient underwent the treatment of gingival recession in the tooth 2.3 region by an envelope technique using a free CTG from the hard palate region. Seven years after the surgery, a mucosal overgrowth was observed, which developed asymptomatically and did not cause any problems to the patient.

Immediate Postextraction Implant Placement Using Plasma Rich in Growth Factors Technology in Maxillary Premolar Region: A New Strategy for Soft Tissue Management

2013 ◽  
Vol 39 (1) ◽  
pp. 98-102 ◽  
Author(s):  
Gabriele Rosano ◽  
Silvio Taschieri ◽  
Massimo Del Fabbro
Keyword(s):  
Growth Factors ◽  
Soft Tissue ◽  
Autologous Plasma ◽  
Anterior Maxilla ◽  
Aesthetic Result ◽  
Implant Placement ◽  
Extraction Site ◽  
Increased Risk ◽  
New Strategy ◽  
Tissue Grafts

Achieving an excellent aesthetic outcome in postextraction dental implant placement in the anterior maxilla is a challenging procedure for clinicians. In fact, there is an increased risk for soft tissue recession at the facial aspect which may require supplementary connective tissue grafts to accomplish the final aesthetic result. The aim of this case report is to describe a regenerative technique using autologous plasma rich in growth factors fibrin plug for preservation of soft tissue architecture around an implant immediately placed into an extraction site in the anterior maxilla. Such a procedure allowed for guided bone regeneration without the need for vertical releasing incisions and primary healing, thus showing a pleasant gingival contour at the facial aspect after a single stage surgery. Integrating this technique into common practice could provide important benefits for the patients regarding aesthetics, without any risk of infection or transmission of diseases.

Sign in / Sign up

Export Citation Format

Share Document