Three Different Approaches of Immediate Implant Placement in Esthetic Zone -
A Clinical Audit Retrospective Study
Nol Rithy1 and Horn Rithvitou1*
University of Puthisastra, Cambodia
*Corresponding Author: Horn Rithvitou, University of Puthisastra, Cambodia.
Received: February 25, 2022; Published: March 22, 2022
Abstract
Aims and Objective: To compare the stability of hard and soft tissue around immediate implant with three different treatment modalities, bone grafting in the jumping distance, collagen sponge, and put nothing.
Materials and Methods: Fifteen male and female patients, who needed immediate implant with immediate restoration in the esthetic area, were randomised assigned into 3 groups. Group A (control group): (min. of 5 patients) used Botiss Cerabone® (Straumann GmbH, Freiburg, Germany) to graft the jumping distance. Group B (min. of 5 Patients) used collagen sponge Gelatamp® (Roeko, Coltène/Whaledent AG, Altstätten, Swiss) to fill the jumping distance and Group C (NGM): (min. of 5 patients) without any bone graft or collagen sponge to fill the jumping distance.
Results: There was significant difference between means of buccal bone thickness at implant shoulder immediately after surgery to 3 months after surgery P-value = 0.04. There was no significant difference between means of buccal bone thickness at mid-implant immediately after surgery to 3 months after surgery P-value = 0.21. There was no significant difference between means of buccal bone thickness at implant shoulder 3 months after surgery to mid-implant 3 months after surgery P-value = 0.41.All 9 implants were presented with PES ranging from 9 to 13 with the mean of 10.67 mm ( ± 1.58). Only 2 implants (22.22%) presented with PES 13, which was the highest PES among all implants in this study.
Conclusions: with in the limitation of this case series, negative buccal bone thickness change was discovered. The buccal bone thickness at the implant shoulder resorbed more significantly than the mid-implant point. Xenograft used to fill the jumping distance did not prevent the buccal bone resorption during healing if the remaining buccal bone thickness was less than 1.0 mm.
Keywords:Dental Implant; Esthestic Zone; Retrospective
References
- Slagter KW., et al. “Immediate placement of dental implants in the esthetic zone: a systematic review and pooled analysis”. Journal of Periodontology 7 (2014): e241-250.
- Ferrus J., et al. “Factors influencing ridge alterations following immediate implant placement into extraction sockets”. Clinical Oral Implants Research 1 (2010): 22-29.
- Chen ST., et al. “Immediate or early placement of implants following tooth extraction: review of biologic basis, clinical procedures, and outcomes”. The International Journal of Oral and Maxillofacial Implants 19 (2004): 12-25.
- Tortamano P., et al. “Immediate implant placement and restoration in the esthetic zone: a prospective study with 18 months of follow-up”. The International Journal of Oral and Maxillofacial Implants 2 (2010): 345-350.
- Kabi S., et al. “Immediate dental implant placement with or without autogenous bone graft: A comparative study”. National Journal of Maxillofacial Surgery 1 (2020): 46-52.
- Van der Weijden F., et al. “Alveolar bone dimensional changes of post-extraction sockets in humans: a systematic review”. Journal of Clinical Periodontology12 (2009): 1048-1058.
- Schropp L., et al. “Impact of conventional tomography on prediction of the appropriate implant size”. Oral Surgery, Oral Medicine, Oral Pathology, and Oral Radiology Endodontology 4 (2001): 458-463.
- Lee CT., et al. “Alterations of the bone dimension following immediate implant placement into extraction socket: systematic review and meta-analysis”. Journal of Clinical Periodontology 9 (2014): 914-926.
- Vignoletti F., et al. “Surgical protocols for ridge preservation after tooth extraction. A systematic review”. Clinical Oral Implants Research (2012): 22-38.
- Jung RE., et al. “Radiographic evaluation of different techniques for ridge preservation after tooth extraction: a randomized controlled clinical trial”. Journal of Clinical Periodontology 1 (2013): 90-98.
- Monje A., et al. “The Critical Peri-implant Buccal Bone Wall Thickness Revisited: An Experimental Study in the Beagle Dog”. The International Journal of Oral and Maxillofacial Implants6 (2019): 1328-1336.
- Araújo MG., et al. “Ridge alterations following implant placement in fresh extraction sockets: an experimental study in the dog”. Journal of Clinical Periodontology6 (2005): 645-652.
- Weigl P and Strangio A. “The impact of immediately placed and restored single-tooth implants on hard and soft tissues in the anterior maxilla”. European Journal of Oral Implantology 1 (2016): S89-106.
- Yu X., et al. “Biomaterials for Bone Regenerative Engineering”. Advanced Healthcare Materials 9 (2015): 1268-1285.
- Saito H., et al. “Provisional Restorations Used in Immediate Implant Placement Provide a Platform to Promote Peri-implant Soft Tissue Healing: A Pilot Study”. International Journal of Periodontics and Restorative Dentistry 1 (2016): 47-52.
- Lang NP and Löe H. “The relationship between the width of keratinized gingiva and gingival health”. Journal of Periodontology 10 (1972): 623-627.
- Bouri A., et al. “Width of keratinized gingiva and the health status of the supporting tissues around dental implants”. The International Journal of Oral and Maxillofacial Implants 2 (2008): 323-326.
- Arora H., et al. “Immediate implant placement and restoration in the anterior maxilla: Tissue dimensional changes after 2-5 year follow up”. Clinical Implant Dentistry and Related Research 4 (2017): 694-702.
- Fürhauser R., et al. “Evaluation of soft tissue around single-tooth implant crowns: the pink esthetic score”. Clinical Oral Implants Research 6 (2005): 639-644.
Citation
Copyright