Top

Oral and Maxillofacial Surgery

Published in:

01-06-2015 | Original Article

Peri-implant bone response following immediate implants placed in the esthetic zone and with immediate provisionalization—a case series study

Authors: Carolina Martin, Geninho Thomé, Ana Cláudia Moreira Melo, Flavia Noemy Gasparini Kiatake Fontão

Published in: Oral and Maxillofacial Surgery | Issue 2/2015

Abstract

Purpose

The aim of this case series was to evaluate success and peri-implant bone response around Morse taper immediate implants with an immediate provisionalization.

Methods

Twelve immediate implants were inserted in the maxilla of nine consecutively treated patients. Proximal bone response was evaluated with digital periapical radiographs, and the buccal wall height and width were evaluated with computed tomography.

Results

A slight decrease in the marginal bone crest (0.14 ± 0.41 mm) at the mesial face and an increase (0.07 ± 1.58 mm) at the distal face were observed. Considering the point where bone tissue meets the implant surface, there was a statistically significant increase at the mesial face (0.92 ± 1.29 mm) and a not significant increase at the distal face (0.43 ± 1.63 mm). Buccal bone wall width showed a statistically significant bone loss at the level of the implant/abutment junction (0.77 ± 0.75 mm) and at 3 mm (0.59 ± 0.76 mm) and 6 mm (0.46 ± 0.81 mm) apically to the implant/abutment junction. The height of the buccal wall showed a not statistically significant resorption (0.20 ± 0.51 mm).

Conclusion

Based on the preliminary results (8 months) of this case series study, it can be concluded that there was bone loss on the mesial bone crest level and on the buccal face and bone increases on the mesial and distal faces in the area where the bone meets the implant surface. Nevertheless, this is just a case series study, and long-term controlled clinical trials are essential for a definitive conclusion.

Kan JY, Rungcharassaeng K (2000) Immediate placement and provisionalization of maxillary anterior single implants: a surgical and prosthodontic rationale. Pract Periodont Aesthet Dent 12:817–824

Kan JYK, Rungcharassaeng K, Umezu K, Kois JC (2003) Dimensions of peri-implant mucosa: an evaluation of maxillary anterior single implants in humans. J Periodontol 74:557–562CrossRefPubMed

Di Alberti L, Donnini F, Di Alberti C, Camerino M, Sgaramella N, Lo ML (2012) Clinical and radiologic evaluation of 70 immediately loaded single implants in the maxillary esthetic zone: preliminary results after 1 year of functional loading. Int J Oral Maxillofac Implants 27:181–186PubMed

Van der Weijden F, Dell´Acqua F, Slot DE (2009) Alveolar bone dimensional changes of post-extraction sockets in humans: a systematic review. J Clin Periodontol 36:1048–1058CrossRefPubMed

Schropp L, Wenzel A, Kostopoulos L, Karring T (2003) Bone healing and soft tissue contour changes following single-tooth extraction: a clinical and radiographic 12-month prospective study. Int J Periodont Restor Dent 23:313–323

Lazzara RJ (1989) Immediate implant placement into extraction sites: surgical and restorative advantages. Int J Periodont Restor Dent 9:332–343

Parel SM, Triplett RG (1990) Immediate fixture placement: a treatment planning alternative. Int J Oral Maxillofac Implants 5:337–345PubMed

Wohrle PS (1998) Single-tooth replacement in the aesthetic zone with immediate provisionalization: fourteen consecutive case reports. Pract Periodont Aesthet Dent 10:1107–1114

Chen ST, Wilson TG Jr, Hämmerle CH (2004) Immediate or early placement of implants following tooth extraction: review of biologic basis, clinical procedures, and outcomes. Int J Oral Maxillofac Implants 19(Suppl):12–25PubMed

10.

Crespi R, Capparé P, Gherlone E, Romanos GE (2008) 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 23:753–758PubMed

11.

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

12.

Becker W, Goldstein M (2008) Immediate implant placement: treatment planning and surgical steps for successful outcome. Periodont 2000 47:79–89CrossRef

13.

Funato A, Salama MA, Ishikawa T, Garber DA, Salama H (2007) Timing, positioning, and sequential staging in esthetic implant therapy: a four-dimensional perspective. Int J Periodont Restor Dent 27:313–323

14.

Barcelos MJ, Novaes Júnior AB, Conz MB, Harari ND, Vidigal Júnior GM (2008) Diagnosis and treatment of extraction sockets in preparation for implant placement: report of three cases. Braz Dent J 19:159–164CrossRefPubMed

15.

Schiroli G (2003) Immediate tooth extraction, placement of a Tapered Screw-Vent® implant, and provisionalization in the esthetic zone: a case report. Implant Dent 12:123–131CrossRefPubMed

16.

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

17.

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

18.

Chen ST, Buser D (2009) Clinical and esthetic outcomes of implants placed in postextraction sites. Int J Oral Maxillofac Implants 24(Suppl):186–217PubMed

19.

Nevins M, Camelo M, De Paoli S et al (2006) A study of the fate of the buccal wall of extraction sockets of teeth with prominent roots. Int J Periodont Dent 26:19–29

20.

Kan JY, Rungcharassaeng K, Morimoto T, Lozada J (2009) Facial gingival tissue stability after connective tissue graft with single immediate tooth replacement in the esthetic zone: consecutive case report. J Oral Maxillofac Surg 67:40–48CrossRefPubMed

21.

Grunder U, Gracis S, Capelli M (2005) Influence of the 3-D bone-to-implant relationship on esthetics. Int J Periodont Restor Dent 25:113–119

22.

Block MS, Mercante DE, Lirette D, Mohamed W, Ryser M, Castellon P (2009) Prospective evaluation of immediate and delayed provisional single tooth restorations. J Oral Maxillofac Surg 67:89–107CrossRefPubMed

23.

Kan JYK, Rungcharassaeng K, Lozada JL, Zimmerman G (2011) Facial gingival tissue stability following immediate placement and provisionalization of maxillary anterior single implants: a 2- to 8-year follow-up. Int J Oral Maxillofac Implants 26:179–187PubMed

24.

Norton MR (2011) The influence of insertion torque on the survival of immediately placed and restored single-tooth implants. Int J Oral Maxillofac Implants 26:1333–1343PubMed

25.

Covani U, Crespi R, Cornellini R, Barone A (2004) Immediate implants supporting single crown restoration: a 4-year prospective study. J Periodontol 75:982–988CrossRefPubMed

26.

Canullo L, Rasperini G (2007) Preservation of peri-implant soft and hard tissues using platform switching of implants placed in immediate extraction sockets: a proof-of-concept study with 12- to 36-month follow-up. Int J Oral Maxillofac Implants 22:995–1000PubMed

27.

Botticelli D, Berglundh T, Lindhe J (2004) Hard-tissue alterations following immediate implant placement in extraction sites. J Clin Periodontol 31:820–828CrossRefPubMed

28.

Buser D, Halbritter S, Hart C et al (2009) Early placement with simultaneous guided bone regeneration following single-tooth extraction in the esthetic zone: 12-month results of a prospective study with 20 consecutive patients. J Periodontol 80:152–162CrossRefPubMed

29.

Ferrus J, Cecchinato D, Pjetursson EB, Lang NP, Sanz M, Lindhe J (2010) Factors influencing ridge alterations following immediate implant placement into extraction sockets. Clin Oral Implants Res 21:22–29CrossRefPubMed

30.

Buser D, Chappuis V, Kuchler U, Bornstein MM, Wittneben JG, Buser R et al (2013) Long-term stability of early implant placement with contour augmentation. J Dent Res 92:176S–182SCrossRefPubMedCentralPubMed

31.

Araujo MG, Sukekava F, Wennstrom JL, Lindhe J (2005) Ridge alterations following implant placement in fresh extraction sockets: an experimental study in the dog. J Clin Periodontol 32:645–652CrossRefPubMed

32.

Sanz M, Cecchinato D, Ferrus J, Pjetursson EB, Lang NP, Lindhe J (2010) A prospective, randomized-controlled clinical trial to evaluate bone preservation using implants with different geometry placed into extraction sockets in the maxilla. Clin Oral Implants Res 21:13–21CrossRefPubMed

33.

Chappuis V, Engel O, Reyes M, Shahim K, Nolte LP, Buser DJ (2013) Ridge alterations post-extraction in the esthetic zone: a 3-D analysis with CBCT. J Dent Res 92:195S–201SCrossRefPubMedCentralPubMed

34.

Gapski R, Neugeboren N, Pomeranz AZ, Reissner MW (2008) Endosseous implant failure influenced by crown cementation: a clinical case. Int J Oral Maxillofac Implants 23:943–946PubMed

Title: Peri-implant bone response following immediate implants placed in the esthetic zone and with immediate provisionalization—a case series study
Authors: Carolina Martin
Geninho Thomé
Ana Cláudia Moreira Melo
Flavia Noemy Gasparini Kiatake Fontão
Publication date: 01-06-2015
Publisher: Springer Berlin Heidelberg
Published in: Oral and Maxillofacial Surgery / Issue 2/2015
Print ISSN: 1865-1550
Electronic ISSN: 1865-1569
DOI: https://doi.org/10.1007/s10006-014-0470-5

ACC 2024 Congress

Springer Medicine

Peri-implant bone response following immediate implants placed in the esthetic zone and with immediate provisionalization—a case series study

Abstract

Purpose

Methods

Results

Conclusion

ACC 2024 Congress

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 2/2015

Postoperative hemostatic efficacy of gauze soaked in tranexamic acid, fibrin sponge, and dry gauze compression following dental extractions in anticoagulated patients with cardiovascular disease: a prospective, randomized study

Facial trauma in the Trojan War

Examining the genetics of congenital facial paralysis—a closer look at Moebius syndrome

Oral submucous fibrosis—a treatment protocol based on clinical study of 100 patients in central India

Hereditary sensory and autosomal peripheral neuropathy-type IV: case series and review of literature

Evaluation of third molar development and its relation to chronological age: a panoramic radiographic study