International Journal of Prosthodontics and Restorative Dentistry (original) (raw)
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International Journal of Oral & Maxillofacial Implants, 2014
This 5-year prospective multicenter study compared implant survival and success, peri-implant health and soft tissue responses, crestal bone level stability, and complication rates following immediate loading of single OsseoSpeed implants placed in anterior maxillary healed ridges or extraction sockets. Materials and Methods: Individuals requiring anterior tooth replacement with single implants were treated and immediately provisionalized. Definitive all-ceramic crowns were placed at 12 weeks. Implant survival, bone levels, soft tissue levels, and peri-implant health were monitored for 5 years. Results: One hundred thirteen patients received implants in fresh sockets (55) and healed ridges (58). After 5 years, 45 and 49 patients remained for evaluation, respectively. During the first year, three implants failed in the extraction socket group (94.6% survival) and one implant failed in the healed ridge group (98.3% survival); this difference was not significant. No further implant failures were recorded. After 5 years, the interproximal crestal bone levels were located a mean of 0.43 ± 0.63 mm and 0.38 ± 0.62 mm from the reference points of implants in sockets and healed ridges (not a significant difference). In both groups, papillae increased over time and peri-implant mucosal zenith positions were stable from the time of definitive crown placement in sockets and healed ridges. Compared to flap surgery for implants in healed ridges, flapless surgery resulted in increased peri-implant mucosal tissue dimension (average, 0.78 ± 1.34 mm vs 0.19 ± 0.79 mm). Conclusion: After 5 years, the bone and soft tissue parameters that characterize implant success and contribute to dental implant esthetics were similar following the immediate provisionalization of implants in sockets and healed ridges. The overall tissue responses and reported implant survival support the immediate provisionalization of dental implants in situations involving healed ridges and, under ideal circumstances, extraction sockets.
Journal of Clinical Periodontology, 2005
Objective: To study dimensional alterations of the alveolar ridge that occurred following implant placement in fresh extraction sockets. Material and Methods: Five beagle dogs were included in the study. In both quadrants of the mandible, incisions were made in the crevice region of the third and fourth pre-molars. Buccal and minute lingual full-thickness flaps were elevated. The mesial root of the four pre-molars root was filled and the teeth were hemi-sected. Following flap elevation in 3 P 3 and 4 P 4 regions, the distal roots were removed. In the right jaw quadrants, implants with a sand blasted and acid etched (SLA) surface were placed in the fresh extraction sockets, while in the left jaws the corresponding sockets were left for spontaneous healing. The mesial roots were retained as surgical control teeth. After 3 months, the animals were examined clinically, sacrificed and tissue blocks containing the implant sites, the adjacent tooth sites (mesial root) and the edentulous socket sites were dissected, prepared for ground sectioning and examined in the microscope. Results: At implant sites, the level of bone-to-implant contact (BC) was located 2.6 AE 0.4 mm (buccal aspect) and 0.2 AE 0.5 mm (lingual aspect) apical of the SLA level. At the edentulous sites, the mean vertical distance (V) between the marginal termination of the buccal and lingual bone walls was 2.2 AE 0.9 mm. At the surgically treated tooth sites, the mean amount of attachment loss was 0.5 AE 0.5 mm (buccal) and 0.2 AE 0.3 mm (lingual). Conclusions: Marked dimensional alterations had occurred in the edentulous ridge after 3 months of healing following the extraction of the distal root of mandibular premolars. The placement of an implant in the fresh extraction site obviously failed to prevent the remodelling that occurred in the walls of the socket. The resulting height of the buccal and lingual walls at 3 months was similar at implants and edentulous sites and vertical bone loss was more pronounced at the buccal than at the lingual aspect of the ridge. It is suggested that the resorption of the socket walls that occurs following tooth removal must be considered in conjunction with implant placement in fresh extraction sockets.
SciDoc Publishers, 2021
Background: Socket preservation following extraction of unrestorable tooth and restoring its form, function, and esthetics are the challenges faced by the implantologist and also the expectation of patients. Although earlier it was considered that long term implant survival depended on placement on healed alveolar ridge, current evidence confirms that immediate implant placement yields excellent and predictable results if established clinical guidelines are meticulously followed. Aims: To assess the peri-implant hard and soft tissue remodeling around the immediately placed and immediately provisionalized dental implants in the maxillary anterior region. Materials and Methods: In this pilot study, immediate implant placement and provisionalisation into the extracted sockets of maxillary anterior region was done in six patients. Clinical parameters were assessed after implant placement at 3, 6 and 12 months and compared with the values taken before extraction. Statistical analysis was done by repeated measures one-way ANOVA. Results: The results revealed that, in comparison to the pretreatment values, there was a decrease in the height of papilla, width and thickness of mucosa. But there was no significant change in the mesial and distal marginal bone level and the success rate of implants is 100% which is comparable to any other study related to this subject. Conclusion: The results obtained in this study reinforce the belief that the immediate implant loading is a good, reliable method especially in the esthetic zone with non-functional loading protocols. It could be extended for immediately loaded treatment solutions in the management of partially edentulous arches.
PubMed, 2011
Purpose: The primary goal of this study was to compare implant survival 12 months after immediate loading of single implants placed in healed ridges versus extraction sockets. Secondary outcomes were to compare marginal bone adaptation and soft tissue changes over time. Materials and methods: A prospective multicenter clinical investigation was initiated to assess clinical performance of immediately loaded implants in the maxilla. Implant survival was ascertained at the time of impression making (8 to 10 weeks) and after 1 year by clinical stability. Radiographic marginal bone levels, soft tissue levels, and plaque and bleeding scores were compared with baseline values (implant placement and provisionalization). Results: One hundred thirty-nine patients received 157 implants in the maxilla. Single implants with provisional crowns were placed in extraction sockets of 55 patients (58 implants) and in healed ridges of 60 patients (65 implants). In addition, 19 patients (23 implants) required bone grafting prior to implant placement, and 11 implants in 10 patients among all groups were not immediately loaded because of insufficient initial stability after surgery. Three implants (5.2%) failed in extraction sites and one implant (1.5%) failed in a healed ridge. The mean change in marginal bone level 1 year after implant placement was 1.30 mm (SD 2.52) (gain) in extraction sockets and -0.40 mm (SD 1.43) (loss) in healed ridges. The mucosal zenith was stable or moved incisally following definitive crown placement in 83.7% of immediate implants and 87.0% of implants placed in healed ridges. Plaque and inflammation scores were low and did not differ between groups. Conclusions: The responses of local bone and soft tissues at immediately loaded implants placed in extraction sockets or healed ridges were similar. Furthermore, these 1-year results suggest that clinical management of esthetically critical soft tissue may be predictably achieved in both indications.
Int J Periodontics Restorative Dent, 2023
This study aimed to calculate the 3-year dimensional change in crestal bone width when dental implants placed in postextraction sockets underwent two alternative techniques for alveolar preservation. Fresh sockets that had undergone immediate implant placement were categorized into one of two groups depending on the procedure type. For the xenogeneic biomaterial grafted (BG) group, the gaps between the metallic implant surfaces and the bony walls were filled with corticocancellous porcine bone; in the anatomical cap group, in which patients were treated with guided tissue healing (GTH), cross-linkable acrylic resin caps were immediately screwed on the implants. Absolute measurements of the alveolar width were performed on 3D images acquired before tooth extraction (thereby ensuring correct surgical treatment) and 3 years after surgery. Nonparametric statistics were performed, with the level of significance set at 1%. The results of 46 implants (placed in 36 patients) were analyzed, and 100% survival rates were reported for both groups at 3 years postsurgery. Minor swelling of treated areas was observed the first few days of healing, but neither mucositides, dehiscence events, nor suppurations occurred. At 3 years postsurgery, loss in alveolar ridge width was higher for the BG group (-1.1 ± 0.6 mm) than for the GTH group (0.0 ± 0.3 mm); moreover, these changes were significantly different (P < .0001). This clinical and radiographic data analysis suggests that the implant sites that received a xenogeneic filling material were less effective in maintaining the preoperative alveolar bone width than sites that underwent GTH with immediate implants and anatomical tooth-shaped caps.
Journal of Maxillofacial and Oral Surgery, 2020
Aim The present study evaluated the clinical and radiological stability of hard and soft tissues following alveolar socket preservation (ASP) procedure with a follow-up of 5 year from implant insertion. Materials and methods The initial sample consisted of seven patients who underwent single tooth extraction and ASP procedure by means of demineralized bovine bone mineral particles covered with a porcine-derived noncross-linked collagen matrix (CM). Each patient received a submerged single implant in the healed site. Mesial and distal peri-implant marginal bone resorption (MBR) rates were assessed radiographically at 1 year (T 1) and 5 years (T 2) after implant placement (baseline value). Results and Statistics No dropouts occurred up to 5 years. At T 1 , the MBR was 0.08 ± 0.16 mm at the mesial aspect and 0.1 ± 0.12 mm at the distal aspect. This difference was not statistically significant (P = 0.867). At T 2 , the mesial MBR was 0.15 ± 0.17 mm and the distal MBR was 0.11 ± 0.14 mm, with a non-statistically significant difference (P = 0.532). Therefore, no statistically significant differences were detected comparing mesial and distal MBR at any time point. With respect to the intra-group comparisons, no differences were observed comparing the different study periods within each variable. Indeed, the comparison between T 0 , T 1 and T 2 was non-statistically significant at both mesial (P = 0.06) and distal (P = 0.06) aspects. After 5 years, the volume of the soft tissues appeared clinically well maintained with a natural aspect around dental implants and adjacent teeth. Conclusion ASP using demineralized bovine bone mineral in combination with CM proved to be an effective technique to maintain stable dimensional volumes of both hard and soft tissues.