Longitudinal Soft Tissue Changes During Periodontal Ligament–Mediated Immediate Implant Placement with the Root-Membrane Technique

2020 ◽  
Vol 35 (2) ◽  
pp. 379-385 ◽  
Author(s):  
Miltiadis Mitsias ◽  
◽  
Manuel Bratos ◽  
Konstantinos Siormpas ◽  
Michael Pikos ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Periodontal Ligament ◽  
Implant Placement ◽  
Membrane Technique ◽  
Tissue Changes ◽  
Immediate Implant ◽  
Soft Tissue Changes

scholarly journals Hard and Soft Tissue Changes After Crestal and Subcrestal Immediate Implant Placement

2011 ◽  
Vol 82 (8) ◽  
pp. 1112-1120 ◽  
Author(s):  
Richard U. Koh ◽  
Tae-Ju Oh ◽  
Ivan Rudek ◽  
Gisele F. Neiva ◽  
Carl E. Misch ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Implant Placement ◽  
Tissue Changes ◽  
Immediate Implant ◽  
Soft Tissue Changes

Effects of Antibiotics on Bone and Soft-Tissue Healing Following Immediate Single-Tooth Implant Placement Into Sites With Apical Pathology

2015 ◽  
Vol 41 (5) ◽  
pp. e202-e211 ◽  
Author(s):  
Bashir Hosseini ◽  
Warren C. Byrd ◽  
John S. Preisser ◽  
Asma Khan ◽  
Derek Duggan ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Bacterial Resistance ◽  
Alveolar Bone ◽  
Controlled Trial ◽  
Double Blind ◽  
Implant Placement ◽  
Bonferroni Adjustment ◽  
Tissue Changes ◽  
Immediate Implant ◽  
Soft Tissue Changes

Overprescription of antibiotics can cause bacterial resistance problems, leading to life-threatening illnesses and public health crises. Clinicians often believe antibiotics can prevent dental implant failure and postoperative complications. In conjunction with implant surgery, antibiotics are therefore routinely prescribed for all cases. In this double-blind, randomized controlled trial, the effects of antibiotics on the clinical outcomes of immediate implant placement upon replacing a tooth with an apical pathology were examined to compare antibiotics (n = 10) and placebo (n = 10). In each subject, a tooth with a chronic apical lesion was extracted, thoroughly curetted, irrigated, and replaced with single implant with a screw-retained custom provisional abutment/crown. Postoperative pain/discomfort was measured at 1- and 4-week postsurgical follow-up visits using visual analog scales. Facial alveolar bone and soft-tissue changes were measured using pre- and postoperative cone-beam computerized tomography and impressions. We found survival rates of 100% (antibiotics) and 78% (control). However, there was no statistical difference in means for any clinical outcome (t tests with Bonferroni adjustment for multiple testing), except for midfacial soft-tissue changes: 0.43 mm (SD, 0.76) in the antibiotics group and 1.70 mm (SD, 1.06) in the placebo group (t15 = −2.89, P = .011). The average change of the midfacial alveolar plate was 0.62 mm (SD, 0.46) and 1.34 mm (SD, 0.91) for the antibiotic and placebo groups, respectively, which did not significantly differ statistically. No significant correlation (Spearman correlation) existed between the changes in facial alveolar bone and the facial gingival margin. Antibiotics appear to have little effect on immediate implant treatment outcomes.

Implant Installation With Bone Augmentation and Transmucosal Healing With Demineralized Human Cortical Bone in the Maxillary Anterior Region: Report of 3 Cases

2012 ◽  
Vol 38 (6) ◽  
pp. 762-766 ◽  
Author(s):  
Jun-Beom Park
Keyword(s):  
Demineralized Bone Matrix ◽  
Bone Matrix ◽  
Animal Experiments ◽  
Bone Augmentation ◽  
Implant Placement ◽  
Anterior Teeth ◽  
Tissue Changes ◽  
Term Basis ◽  
Immediate Implant ◽  
Soft Tissue Changes

It is well known that a decrease in vertical height and in horizontal width is seen after tooth extraction. Immediate implant placement, originally thought to prevent buccal wall resorption, showed little or no evident decrease of the resorption rate or pattern in animal experiments or clinical studies. Thus, the need for bone augmentation with immediate implantation has been suggested. However, until recently, simultaneous bone augmentation with immediate implant placement was thought to be possible only in a submerged environment. In this report, the harmony of soft and hard tissue was achieved in 3 patients by immediate implant placement and bone augmentation with transmucosal healing in esthetically challenging situations. Further evaluation is needed to monitor hard- and soft-tissue changes on a long-term basis. Implant placement and bone augmentation with transmucosal healing using demineralized bone matrix may be an option in the treatment of the loss of anterior teeth.

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 Effect of free gingival graft before implant placement on peri-implant health and soft tissue changes: a randomized controlled trial

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Chaoling Zheng ◽  
Shimin Wang ◽  
Hongqiang Ye ◽  
Yunsong Liu ◽  
Wenjie Hu ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Control Group ◽  
Free Gingival Graft ◽  
Implant Placement ◽  
Soft Tissue Thickness ◽  
Significant Difference ◽  
Tissue Changes ◽  
Implant Restoration ◽  
Soft Tissue Changes ◽  
Keratinized Mucosa

Abstract Background To evaluate the clinical outcome and changes in posterior buccal soft tissue following implant restoration in groups with and without a free gingival graft (FGG) before implant placement. Methods Twenty-six individuals who required implant restoration and displayed lack of keratinized mucosa (KM) were recruited and assigned to the FGG group (with FGG before implant placement) or Control group (without FGG before implant placement) randomly. A screw-retained conventional implant restoration was performed for each patient. Peri-implant soft tissue was captured by an intraoral scanner and analyzed by an image processing software. Clinical parameters (plaque index, gingival index, probing depth, and bleeding on probing) were assessed at baseline and 1, 3, 6, and 12 months. Buccal soft tissue changes (mucosal margin, soft tissue thickness, and width of keratinized mucosa) on the buccal side of implant site were assessed at 1, 3, 6, and 12 months. Two-way ANOVA and Bonferroni test were used to analyze significant difference between groups at each time point (α = 0.05). Results The clinical parameters were lower in the FGG group than that in the Control group, although there were no significant differences between the two groups (P > 0.05). Peri-implant soft tissue collapsed and the changes (mucosal margin and soft tissue thickness) were significantly greater in the Control group than the FGG group (P < 0.05). Width of KM was larger in the FGG group than the Control group, although there was no significant difference between the two groups (P > 0.05). Conclusions Minimal peri-implant soft tissue changes occurred in two groups. Performing FGG before implant placement is a viable procedure to maintain peri-implant soft tissue but might not affect peri-implant health during 12 months follow-up. However, small sample size must be considered. Trial registration This study was retrospectively registered in the Chinese Clinical Trial Registry (Registration number: ChiCTR2000037954; Date of registration: 6 September 2020).

scholarly journals The Root Membrane Technique: Human Histologic Evidence after Five Years of Function

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Miltiadis E. Mitsias ◽  
Konstantinos D. Siormpas ◽  
Georgios A. Kotsakis ◽  
Scott D. Ganz ◽  
Carlo Mangano ◽  
...  
Keyword(s):  
Periodontal Ligament ◽  
Bone Plate ◽  
Anterior Maxilla ◽  
Histologic Evidence ◽  
Implant Placement ◽  
Membrane Technique ◽  
Immediate Implants ◽  
Immediate Implant ◽  
Bone To Implant Contact ◽  
Mature Bone

Background. The “root membrane” (RM) is a technique that has become popular among implantologists for placement of immediate implants in the anterior maxilla. Purpose. To present histologic evidence of an immediate implant placed in the human anterior maxilla, according to the RM technique, and retrieved after five years. Methods. A fixture, along with the surrounding tissues, was retrieved from the anterior maxilla of a 68-year-old patient, who had been treated five years earlier with immediate implant placement and RM technique. The specimen was processed for histologic/histomorphometric evaluation. Results. The buccal bone plate was maintained without any resorption; a healthy periodontal ligament was evidenced. The implant showed osseointegration, with a high percentage of bone-to-implant contact (BIC = 76.2%). With regard to the space between the RM and the implant, the apical and medial thirds were filled with compact, mature bone; the coronal third was colonized by noninfiltrated connective tissue. Conclusions. The RM technique appears to be effective in preventing bone resorption of the buccal bone plate of the human anterior maxilla, five years after the placement of an immediate implant.

Soft-tissue changes after Class II malocclusion treatment using the Sander bite-jumping appliance: a retrospective study

2019 ◽  
Vol 68 (3) ◽  
Author(s):  
Michele Tepedino ◽  
Maria V. Della Noce ◽  
Domenico Ciavarella ◽  
Patrizia Gallenzi ◽  
Massimo Cordaro ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Soft Tissue ◽  
Class Ii ◽  
Class Ii Malocclusion ◽  
Tissue Changes ◽  
Soft Tissue Changes
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