medigraphic.com
ISSN 2007-4360 (Print)
Asociación Mexicana de Periodontología, Colegio de Periodoncistas A.C

2016, Number 3

<< Back Next >>

Rev Mex Periodontol 2016; 7 (3)

Immediate functional loading in the esthetic zone on an implant postextraction: prospective clinical study

Falcón GBE

Language: Spanish
References: 32
Page: 77-83
PDF size: 293.93 Kb.


ABSTRACT

Introduction: The implants in the esthetic zone are challenging demand function and aesthetics. Immediate implants are an alternative to recover teeth quickly and efficiently, keeping bone and soft tissue. The aim of this study was to evaluate the survival rate, marginal soft tissue and bone changes; and patient satisfaction, using functional immediate loading in the esthetic zone on postextraction implants. Material and methods: The implants were placed in post-extraction sites with flapless surgery, functional immediately loaded at 24 hours. An alveolus a gap of about 2 mm with a bone filler received provisional functional and replaced by a definitive prosthesis six months. Survival rate, stability of soft tissue, bone loss was evaluated; and patient satisfaction. The marginal bone loss was assessed by radiographs to compare the mean and standard deviation (mean ± SD) both mesial and distal. Similarly in the soft tissues, the papillae and gingival recession (mean ± SD) and a satisfaction survey is performed. Results: A survival rate of 100% is achieved. During follow-up there was stability of soft tissue with no recession (0.12 ± 0.15) and conservation of the papillae (0.017 ± 0.204). The level of bone loss implant at 12 months is 0.38 ± 0.64 mm, an average of 0.33 ± mesial and distal 0.26 mm 0.42 ± 0.20. 100% were satisfied with the results. Conclusions: The results showed that the functional immediate loading of implants placed in postextraction sockets, could be considered a predictable procedure to preserve the hard and soft tissues year follow-up; improving satisfaction and comfort for the result.


REFERENCES

  1. Crespi R, Capparé P, Gherlone E, Romanos GE. Immediate versus delayed loading of dental implants placed in fresh extraction sockets in the maxillary esthetic zone: a clinical comparative study. Int J Oral Maxillofac Implants. 2008; 23: 753-758.

  2. Al-Shabeeb MS, Al-Askar M, Al-Rasheed A, Babay N, Javed F, Wang HL et al. Alveolar bone remodeling around immediate implants placed in accordance with the extraction socket classification: a three-dimensional microcomputed tomography analysis. J Periodontol. 2012; 83: 981-987.

  3. Singh A, Gupta A, Yadav A, Chaturvedi TP, Bhatnagar A, Singh BP. Immediate placement of implant in fresh extraction socket with early loading. Contemp Clin Dent. 2012; 3 (Suppl 2): S219-S222. doi: 10.4103/0976-237X.101099.

  4. Fugazzotto PA. Implant placement at the time of maxillary molar extraction: treatment protocols and report of results. J Periodontol. 2008; 79: 216-223.

  5. Falcón-Guerrero BE. Efectividad de un injerto pediculado de tejido conectivo para lograr el cierre por primera intención en implantes post extracción. Vis Dent. 2014; 17 (1): 176-181.

  6. Schwartz-Arad D, Chaushu G. Immediate implant placement: A procedure without incisions. J Periodontol. 1998; 69: 743-750.

  7. Chung S, Rungcharassaeng K, Kan JY, Roe P, Lozada JL. Immediate single tooth replacement with subepithelial connective tissue graft using platform switching implants: a case series. J Oral Implantol. 2011; 37: 559-569.

  8. Suarez F, Chan HL, Monje A, Galindo-Moreno P, Wang HL. Effect of the timing of restoration on implant marginal bone loss: a systematic review. J Periodontol. 2013; 84: 159-169.

  9. Guerrero BE. Immediate loading of single- implant with a minimally invasive surgery case report. J Periodontal Med Clin Pract. 2014; 1: 206-211.

  10. Benic GI, Mir-Mari J, Hämmerle CH. Loading protocols for single-implant crowns: a systematic review and meta-analysis. Int J Oral Maxillofac Implants. 2014; 29 Suppl: 222-238. doi: 10.11607/jomi.2014suppl.g4.1.

  11. Gallucci GO, Benic GI, Eckert SE, Papaspyridakos P, Schimmel M, Schrott A et al. Consensus statements and clinical recommendations for implant loading protocols. Int J Oral Maxillofac Implants. 2014; 29 Suppl: 287-290. doi: 10.11607/jomi.2013.g4.

  12. Crespi R, Capparè P, Gherlone E, Romanos GE. Immediate occlusal loading of implants placed in fresh sockets after tooth extraction. Int J Oral Maxillofac Implants. 2007; 22: 955-962.

  13. Malo P, Friberg B, Polizzi G, Gualini F, Vighagen T, Rangert B. Immediate and early function of Brånemark system implants placed in the esthetic zone: A 1-year prospective clinical multicenter study. Clin Implant Dent Relat Res. 2003; 5 (suppl 1): 37-46.

  14. Falcón-Guerrero BE. Carga inmediata funcional en la zona estética sobre un implante postextracción. Rev Mex Periodontol. 2015; 6 (1): 5-9.

  15. Luchetti CG, Kurtzman GM, Kitrilakis AE, Ostrowicz DI. Immediate implant placement in maxillary molars using septa dilatation with threaded expanders: 3 years follow-up and use of the technique in complex cases. Int J Oral Implantol Clin Res. 2012; 3 (3): 138-145.

  16. Marconcini S, Barone A, Gelpi F, Briguglio F, Covani U. Immediate implant placement in infected sites: a case series. J Periodontol. 2013; 84: 196-202.

  17. Chaushu G, Chaushu S, Tzohar A, Dayan D. Immediate loading of single-tooth implants: Immediate versus non-immediate implantation. A clinical report. Int J Oral Maxillofac implants. 2001;16 (2):267-272.

  18. Barone A, Rispoli L, Vozza I, Quaranta A, Covani U. Immediate restoration of single implants placed immediately after tooth extraction. J Periodontol. 2006; 77: 1914-1920.

  19. Cosyn J, Eghbali A, Hermans A, Vervaeke S, De Bruyn H, Cleymaet R. A 5-year prospective study on single immediate implants in the aesthetic zone. J Clin Periodontol. 2016; 43 (8): 702-709. doi: 10.1111/jcpe.12571.

  20. Roe P, Kan JY, Rungcharassaeng K, Caruso JM, Zimmerman G, Mesquida J. Horizontal and vertical dimensional changes of peri-implant facial bone following immediate placement and provisionalization of maxillary anterior single implants: a 1-year cone beam computed tomography study. Int J Oral Maxillofac Implants. 2012; 27 (2): 393-400.

  21. Rossi F, Romanelli P, Ricci E, Marchetti C, Botticelli D. A cone beam tomographic evaluation of hard tissue alterations at immediate implants: a clinical prospective study. Int J Periodontics Restorative Dent. 2013; 33 (6): 815-823. doi: 10.11607/prd.1442.

  22. Chu SJ, Salama MA, Garber DA, Salama H, Sarnachiaro GO, Sarnachiaro E et al. Flapless postextraction socket implant placement, part 2: the effects of bone grafting and provisional restoration on peri-implant soft tissue height and thickness- a retrospective study. Int J Periodontics Restorative Dent. 2015; 35 (6): 803-809. doi: 10.11607/prd.2178.

  23. Chen ST, Darby IB, Reynolds EC, Clement JG. Immediate implant placement postextraction without flap elevation. J Periodontol. 2009; 80: 163-172.

  24. Tarnow DP, Chu SJ, Salama MA, Stappert CF, Salama H, Garber DA et al. Flapless postextraction socket implant placement in the esthetic zone: part 1. The effect of bone grafting and/or provisional restoration on facial-palatal ridge dimensional change-a retrospective cohort study. Int J Periodontics Restorative Dent. 2014; 34 (3): 323-331. doi: 10.11607/prd.1821.

  25. Bhat V, Bangawala MR. Immediate implant placement without flap elevation. A review. NUJHS. 2014; 4 (3): 131-137.

  26. Chen ST, Buser D. Esthetic outcomes following immediate and early implant placement in the anterior maxilla--a systematic review. Int J Oral Maxillofac Implants. 2014; 29 Suppl: 186-215. doi: 10.11607/jomi.2014suppl.g3.3.

  27. Rungcharassaeng K, Kan JY, Yoshino S, Morimoto T, Zimmerman G. Immediate implant placement and provisionalization with and without a connective tissue graft: an analysis of facial gingival tissue thickness. Int J Periodontics Restorative Dent. 2012; 32 (6): 657-663.

  28. Schropp L, Isidor F. Timing of implant placement relative to tooth extraction. J Oral Rehabil. 2008; 35 Suppl 1: 33-43.

  29. Covani U, Cornelini R, Barone A. Bucco-lingual bone remodeling around implants placed into immediate extraction sockets: a case series. J Periodontol. 2003; 74 (2): 268-273.

  30. Chu SJ, Salama MA, Salama H, Garber DA, Saito H, Sarnachiaro GO et al. The dual-zone therapeutic concept of managing immediate implant placement and provisional restoration in anterior extraction sockets. Compend Contin Educ Dent. 2012; 33 (7): 524-532, 534.

  31. Pjetursson BE, Karoussis I, Bürgin W, Brägger U, Lang NP. Patients’ satisfaction following implant therapy. A 10-year prospective cohort study. Clin Oral Implants Res. 2005; 16 (2): 185-193.

  32. den Hartog L, Raghoebar GM, Stellingsma K, Vissink A, Meijer HJ. Immediate non-occlusal loading of single implants in the aesthetic zone: a randomized clinical trial. J Clin Periodontol. 2011; 38: 186-194.




2020     |     www.medigraphic.com