Immediate implant placement and restoration in the anterior maxilla: Tissue dimensional changes after 2-5 year follow up

2017 ◽  
Vol 19 (4) ◽  
pp. 694-702 ◽  
Author(s):  
Himanshu Arora ◽  
Nabil Khzam ◽  
David Roberts ◽  
William L Bruce ◽  
Saso Ivanovski
Keyword(s):  
Anterior Maxilla ◽  
Dimensional Changes ◽  
Implant Placement ◽  
Immediate Implant

Aesthetic rehabilitation with immediate implant placement in anterior maxilla after traumatic avulsive injury. A case report

2021 ◽  
Author(s):  
Fahad Umer ◽  
Saqib Habib
Keyword(s):  
Case Report ◽  
Cortical Plate ◽  
Radiographic Examination ◽  
Incisor Tooth ◽  
Anterior Maxilla ◽  
Implant Placement ◽  
Immediate Implant ◽  
And Function ◽  
Variable Clinical Presentation

Traumatic oral injuries present their own unique restorative challenges to the clinician due to their variable clinical presentation. In such cases, achieving optimum aesthetics and function in the maxillary aesthetic zone is challenging. This case report describes the rehabilitation of a patient with immediate implant placement after suffering trauma to the oral cavity resulting in a complete loss (avulsion) of a permanent central incisor tooth. In order to preserve the existing soft and hard tissue and to achieve predictable and aesthetically pleasing results, we decided to place an immediate implant as opposed to replantation of the avulsed tooth. Flapless implant surgery was planned and a dental implant (Bio horizons Implant Systems, Inc.) was placed following non-submerged protocol. At six month’s follow-up, the clinical and radiographic examination revealed a well osseo-integrated implant with an intact buccal cortical plate. Continuous...

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.

A 10-Year Cone Beam Computerized Tomography Observation of the Buccal Bony Wall of an Immediately Placed Implant at the Anterior Maxilla: A Case Report

2018 ◽  
Vol 44 (3) ◽  
pp. 213-217 ◽  
Author(s):  
Junho Jung ◽  
Kwantae Noh ◽  
Bilal Al-Nawas ◽  
Yong-Dae Kwon
Keyword(s):  
Soft Tissue ◽  
Computerized Tomography ◽  
Wall Thickness ◽  
Cone Beam ◽  
Anterior Maxilla ◽  
Implant Placement ◽  
Immediate Implant ◽  
Cone Beam Computerized Tomography ◽  
The Stability

Since the introduction of immediate implant placements, the buccal bony wall has been a major consideration for success due to its correlation with soft tissue contour and color. This report presents the stability of the buccal wall thickness of an immediately placed implant at the anterior maxilla over 10 years. Although the width of the buccal wall decreased at the 2-year post-op follow-up, it remained stable afterward according to cone beam computerized tomography (CBCT) scans. Hence, this report suggests that ensuring adequate bony wall thickness with bone augmentation and fixture position may promise the longevity of the buccal bony wall and surrounding soft tissue in an immediate implant placement.

scholarly journals CBCT analysis of the tissue thickness at immediate implant placement with contour augmentation in the maxillary anterior zone: a 1-year prospective clinical study

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Yuya Fujita ◽  
Tamaki Nakano ◽  
Shinji Ono ◽  
Takuya Shimomoto ◽  
Keiichiro Mizuno ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Test Group ◽  
Control Group ◽  
Prospective Clinical Study ◽  
Horizontal Distance ◽  
Facial Bone ◽  
Anterior Maxilla ◽  
Dimensional Changes ◽  
Implant Placement ◽  
Immediate Implant

Abstract Background Immediate implant placement with simultaneous contour augmentation such as guided bone regeneration (GBR) or connective tissue grafting (CTG) has been widely performed. However, few prospective studies have evaluated both peri-implant bone and soft tissue changes between the preoperative and postoperative periods. The purpose of this study is to quantify the horizontal dimensional changes of the facial bone and soft tissue following immediate implant placement with contour augmentation. Material and methods Twenty patients who underwent immediate implant placement in the anterior maxilla received GBR and CTG (test group) or GBR only (control group). Cone-beam computed tomography (CBCT) scans were taken preoperatively and 1 year after the definitive prosthesis connection, and then, they were superimposed. On the CBCT images of the two stages, the horizontal distance from the implant platform to the facial bone surface (BW) and the horizontal soft tissue width (GW) were measured at the implant platform level and 2 mm apical to the implant platform level. The sum of BW and GW (=TW) was used to assess the facial mucosal contour. Results BW decreased significantly from preoperative to 1 year after prosthesis connection with a mean decrease of 0.47 mm (P =0.021) in the control group and a mean decrease of 0.50 mm (P = 0.019) in the test group at the implant platform level. GW increased significantly with a mean increase of 1.37 mm (P =0.005) in the test group at the implant platform level. TW decreased significantly with a mean decrease of 0.46 mm in the control group (P =0.049) but increased significantly with a mean increase of 0.87 mm in the test group (P =0.005) at the implant platform level. Conclusions Immediate implant placement with CTG showed a soft tissue gain of 1.37 mm compensated for bone resorption, thus still preserving the preoperative mucosal contour. CTG should be performed with immediate implant placement in cases where preoperative mucosal contours need to be maintained.

scholarly journals Allograft and Collagen Membrane Augmentation Procedures Preserve the Bone Level around Implants after Immediate Placement and Restoration

2020 ◽  
Vol 17 (4) ◽  
pp. 1133 ◽  
Author(s):  
Roni Kolerman ◽  
Nayrouz Qahaz ◽  
Eitan Barnea ◽  
Eitan Mijiritsky ◽  
Liat Chaushu ◽  
...  
Keyword(s):  
Treatment Modality ◽  
Radiographic Evaluation ◽  
Collagen Membrane ◽  
Hard Tissue ◽  
Anterior Maxilla ◽  
Implant Placement ◽  
Freeze Dried ◽  
Bone Level ◽  
Immediate Implant

Background: Immediate implant placement and restoration (IPR), is a reliable treatment modality. Purpose: This historical prospective study evaluated the medium-term outcomes of hard tissue after IPR in the anterior maxilla with simultaneous hard tissue augmentation. Methods: Seventy-three patients treated with single-implant IPR in the anterior maxilla were followed for 1-8 years. Treatment involved, atraumatic extraction, immediate implant placement and abutment adaptation, followed by simultaneous augmentation with mineralized freeze-dried bone allograft (FDBA) particles to fill the gaps and restore the ridge. The surgical site was stabilized with a resorbable collagen membrane, followed by the connection of an acrylic provisional restoration. Results: All implants osseointegrated during the follow-up period (mean, 34 ± 22 months). Radiographic evaluation of the distance between the implant shoulder (IS) and crestal bone level (CBL) was of 0.86 ± 0.86 mm and 0.8 ± 0.84 mm mesially and distally, respectively. Splitting the results into up to 3 years and 3–8 years of follow-up data, the corresponding values were 0.90 ± 0.83 and 0.68 ± 0.88 for the mesial aspect and 0.99 ± 0.87and 0.74 ± 0.83 for the distal aspect, respectively. Mean peri-implant probing depth was 3.63 mm (SD ± 1.06) and 16 implants (22%) presented at least one bleeding pocket of ≥5 mm (peri implant mucositis). Conclusions: The immediate replacement of a single maxillary tooth by implants combined with guided bone regeneration is a predictable treatment modality with favorable peri-implant bony response.

scholarly journals Comparing Dual-zone Immediate Implant Placement and Socket-shield Technique for Ridge Width Changes in Maxilla: a Prospective Cohort Study

2021 ◽  
Author(s):  
Rola Shadid
Keyword(s):  
Cohort Study ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Dimensional Changes ◽  
Implant Placement ◽  
Immediate Placement ◽  
Immediate Implant ◽  
Ridge Width ◽  
Clinically Significant

Abstract Background: The socket-shield technique still requires more scientific based evidence to be recommended as everyday clinical practice, the aim of this prospective cohort study was to assess the facial-palatal ridge dimensional changes that occurred after a minimum of 8 months following flapless dual-zone (DZ) immediate implant placement and socket-shield (SS) immediate placement in the maxilla.Methods: A total of 19 patients who received 20 implants were included with 10 implants (MegaGen AnyRidge) were placed for each treatment, DZ and SS. Cast models were made at least 8 months after implant placement to assess the dimensional ridge changes by measuring the facial palatal ridge width on implant sites (T) at six designated points starting from gingival margin (0, 1, 2, 3, 5 and 7) and comparing it with the corresponding measurement on contralateral tooth site (C). Results: All 20 placed implants demonstrated successful osseointegration and survived 9-24 months following implantation (survival rate 100%). Two out of ten cases of SS group presented with minor manageable complications of external shield exposure. DZ group showed an average facial-palatal reduction of nearly 0.3 mm; however, there were no significant differences between T and C (P =.47), while SS group revealed a mean gain in ridge contour of approximately 0.2 mm with also no significant differences existed between T and C (P = .64) in the 8-months follow-up. When comparing between the two treatments, there were significant differences in ridge width changes (P < .05), indicating better preservation of the ridge contour at 8-months for SS treatment.Conclusion: The socket shield immediate implant placement produced better preservation of the ridge contour at 8-months post-extraction; however, the dual-zone technique yielded non clinically significant reduction in the ridge contour at the same follow-up.

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