medigraphic.com
Órgano Ofical de la Facultad de Estomatología de la Benemérita Universidad Autónoma de Puebla

2018, Number 61

<< Back Next >>

Oral 2018; 19 (61)

Immediate placement and provisionalization of implant with guided bone regeneration in anterior sector

Zaldívar-Alcocer JJ, Martínez-Gutiérrez D, Montes-López B

Language: Spanish
References: 20
Page: 1658-1663
PDF size: 784.32 Kb.


ABSTRACT

The concept of immediate implant placement and immediate provisionalization was a concept introduced by Worhle in the mid 90’s. It has been demonstrated that it is a predictable treatment modality in ideal aesthetic situations, with success rates comparable to those of delayed implant placement, which allows to preserve soft tissue, the reduction of treatment time, and provide the patient with the convenience of an immediate dental replacement. We present a case of a male patient who attended the periodontal clinic of UPAEP due to mobility and bleeding on tooth 21. In the anamnesis, he reported pain and suppuration after his clinical and radiographic examination, a diagnosis of severe chronic periodontitis was presented and depths up to 9 mm. Radiographically there is a Seibert class III bone defect. A predictable aesthetic success is achieved by placing a dental implant using a method that limits the amount of buccal contour change from the crest of the extraction site and potentially increases the thickness of the coronal peri-implant soft tissues at the implant-abutment interface. This approach involves the atraumatic removal of the tooth without raising the flap, and the placement of a bone graft with absorbable membrane in the residual gap and a provisional restoration retained by a screw that acts as a prosthetic sealing device.


REFERENCES

  1. Jivraj S, Chee W. Treatment planning of implants in the aesthetic zone. British Dental Journal 2006; 201(2): 77-89.

  2. Wohrle PS. Single-tooth replacement in the aesthetic zone with immediate provisionalization: fourteen consecutive case reports. Pract Periodontics Aesthet Dent 1998; 10(9): 1107-14.

  3. Funato A, Salama MA, Ishikawa T, Garber DA, Salama H. Timing, positioning, and sequential staging in esthetic implant therapy: a four-dimensional perspective. International Journal of Periodontics and Restorative Dentistry. 2007; 27(4): 313-23.

  4. Cochran DL, Morton D, Weber HP. Consensus statements and recommended clinical procedures regarding loading protocols for endosseous dental implants. Int J Oral Maxillofac Implants 2004; 19(Suppl): 109-13.

  5. Kan JY, Roe P, Rungcharassaeng K, Patel RD, Waki T, Lozada JL, et al. Classification of sagittal root position in relation to the anterior maxillary osseous housing for immediate implant placement: a cone beam computed tomography study. Int J Oral Maxillofac Implants 2011; 26(4): 873-76.

  6. Lau SL, Chow J, Li W, Chow LK. Classification of maxillary central incisors-implications for immediate implant in the esthetic zone. J Oral Maxillofac Surg 2011; 69(1): 142-53.

  7. Elian N, Cho SC, Froum S, Smith RB, Tarnow DP. A simplified socket classification and repair technique. Pract Proced Aesthet Dent 2007; 19(2): 99-104.

  8. Priest G. Esthetic potential of single-implant provisional restorations: selection criteria of available alternatives. J Esthet Restor Dent 2006; 18(6): 326-38.

  9. Albrektsson T, Brånemark PI, Hansson HA, Lindstrom J (1981) Osseointegrated titanium implants. Requirements for ensuring a long-lasting, direct bone-to-implant anchorage in man. Acta Orthop Scand 1981; 52(2): 155-70.

  10. Evian CI, Emling R., Rosenberg ES, Waasdorp JA, Halpern W, Shah S & Garcia, M. Retrospective analysis of implant survival and the influence of periodontal disease and immediate placement on long-term results. International Journal of Oral and Maxillofacial Implants 2004; 19(3): 393-98.

  11. Chu SJ, Salama MA., Salama H, 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): 524-34.

  12. Hämmerle C, Jung R. Aumento del hueso mediante membranas barrera. Periodontology 2000; 2004; 8: 36-53.

  13. Araújo MG, Linder E, Lindhe J. Bio-Oss collagen in the buccal gap at immediate implants: a 6-month study in the dog. Clin Oral Implants Res 2011; 22(1): 1-8.

  14. Patras M, Naka O, Doukoudakis S, Pissiotis A. Management of provisional restorations’ deficiencies: a literature review. J Aesthet Restor Dent. 2012; 24(1): 26-38.

  15. 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(4): 753-58.

  16. Andersen E, Haanaes HR, Knutsen BM. Immediate loading of singletooth ITI implants in the anterior maxilla: a prospective 5-year pilot study. Clin Oral Implants Res 2002; 13: 281-87.

  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): 267-72

  18. Kan JYK, Rungcharassaeng K, Kois JC. Removable ovate pontic for peri-implant architecture preservation during immediate implant placement. Pract Proced Aesthet Dent 2001; 13(9): 711-15.

  19. Araújo MG, Lindhe J. Dimensional ridge alterations following tooth extraction. An experimental study in the dog. J Clin Periodontol 2005; 32(2): 212-18.

  20. Kan JY, Rungcharassaeng K. Immediate placement and provisionalization of maxillary anterior single implants: a surgical and prosthodontic rationale. Pract Periodontics Aesthet Dent 2000; 12(9): 817-24.




2020     |     www.medigraphic.com