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 On the Ten-Year Success in the Application of Partial Extraction Therapy: A Systematic Review

2021 ◽  
Vol 14 (4) ◽  
pp. 1435-1443
Author(s):  
Mohammed M. Al Moaleem
Keyword(s):  
Tooth Replacement ◽  
Randomized Controlled ◽  
Implant Placement ◽  
Extraction Therapy ◽  
Long Time ◽  
Report Data ◽  
Immediate Implant ◽  
The Aesthetic ◽  
Esthetic Dentistry ◽  
Partial Extraction

Hürzeler presented the socket-shield technique (SST) more than 10 years ago. The partial extraction therapy (PET), a collective concept of utilizing the patient’s own tooth root to preserve the periodontium and peri-implant tissue, has been remarkably developed. PET comprises a group of novel techniques for post-extraction implant placement. Several modifications of PET and simultaneous implant placement have been presented since its inception. Since its origin, several alterations have been employed in the methodology of partial extraction of the root and the simultaneous implant placement. A repeatable, predictable protocol is needed to provide tooth replacement in esthetic dentistry. Moreover, a standardized procedure provides a good framework for clinicians to report data relating to the technique with procedural consistency. This review aims to illustrate a reproducible and systematic protocol for the PET techniques with immediate implant placement at the aesthetic zone. The most used technique is the socket-shield technique, which is potentially offers promising results, minimizing the necessity for invasive bone grafts round implants in the aesthetic area, clinical data to support this is very inadequate. The limited research data existing is cooperated by a deficiency of well-designed prospective randomized controlled investigations. The present case studies and techniques are of actual incomplete technical value. Retrospective studies published in limited records but are of inconsistent plan. At this point, it is indistinct whether the socket-shield technique will offer a stable long-time outcome or not

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.

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 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 Root Membrane Technique-An Insight

2020 ◽  
Author(s):  
Vishnu Jayakumar Sunandhakumari ◽  
Arun Kumar Vidhyadharan ◽  
Nikhil Murali ◽  
Aneesh Alim ◽  
Swathy Anand P J ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Treatment Options ◽  
Implant Placement ◽  
Bone Modelling ◽  
Membrane Technique ◽  
Immediate Implant ◽  
The Common ◽  
A New Technique ◽  
The Aesthetic ◽  
Clinical Concept

There are different treatment options in modern dentistry for the replacement of lost dentition. Of these the most upcoming and acceptable treatment option is Dental implants. The common problem usually with immediate implant placement in the anterior region is the post-operative soft tissue contour as a part of the bone modelling during healing. Hurzeler et al in 2010 introduced a new technique called the “socket shield technique”. This technique has been used as an alternative treatment modality for immediate implant placement in the aesthetic zone.This review articles provides a detailed information regarding the clinical concept of Root membrane technique.

scholarly journals Modified Procedure in a Socket-Shield technique in the aesthetic zone - Case report

2019 ◽  
Vol 1 (2) ◽  
Author(s):  
Hélder Moura
Keyword(s):  
Case Report ◽  
Soft Tissues ◽  
Alveolar Bone ◽  
Socket Preservation ◽  
Implant Placement ◽  
Soft Tissue Volume ◽  
Dental Rehabilitation ◽  
Immediate Implant ◽  
The Aesthetic ◽  
Atraumatic Extraction

Purposes: After tooth extraction alveolar socket bone undergoes a remodelling process. The horizontal and the vertical bone losses complicate dental rehabilitation with implants. Socket-Shield technique maintain the periodontal attachment including cementum, periodontal ligament and bundle bone. In this report this technique was indicated to replace the lost teeth. Case report: A socket shield technique was used for immediate implant placement on a non-restorable teeth by failure of crowns in teeth 12, 11 and 21. Through a osteotomy and manipulation of soft tissues with provisionals it was possible to correct the gingival contours and zeniths. Conclusions: Atraumatic extraction and socket preservation technique decreases the alveolar bone resorption by maintaining the hard and the soft tissue volume. Provisionalization allows management of the soft tissues around the implants. This treatment offers a predictable aesthetic and functional result .

scholarly journals Immediate Placement and Restoration of a New Tapered Implant System in the Aesthetic Region: A Report of Three Cases

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Caroliene M. Meijndert ◽  
Gerry M. Raghoebar ◽  
Arjan Vissink ◽  
Henny J. A. Meijer
Keyword(s):  
Patient Satisfaction ◽  
Soft Tissues ◽  
Mean Value ◽  
Implant Placement ◽  
Bone Level ◽  
Immediate Implant ◽  
The Aesthetic ◽  
One Year ◽  
Implant System

Objective. To assess the clinical, radiographic, aesthetic, and patient-centred outcomes of a new implant system applied for an immediate implant placement and restoration approach in single tooth replacement of anterior maxillary teeth. Material and Method. Three cases were treated with a bone level tapered implant. All patients were treated with the same strategy involving flapless extraction and implant placement with simultaneous augmentation. Implants were provisionally restored with a screw-retained restoration at the day of surgery. Definitive restoration was fabricated after 3 months. Follow-up was one year after definitive restoration. Results. At the 1-year follow-up, the implants were stable and no complications had occurred. Peri-implant bone levels had increased with a mean value of 0.24±0.30 mm between definitive restoration placement and 1 year of follow-up. Clinical outcome scores showed healthy soft tissues. Mean Pink and White Esthetic scores were rated 7.0 and 7.3, respectively. Mean patient satisfaction had improved from 55.7 (pretreatment) to 90.0 (1-year follow-up) on a 0-100 VAS scale. Conclusion. Immediate implant placement and restoration with the new tapered bone level implant system are accompanied by good initial clinical and radiographic results as well as high patient satisfaction.

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.

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