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SINGLE IMPLANT PLACEMENT IN THE AESTHETIC AREA: IMMEDIATE LOADING VERSUS TRADITIONAL DELAYED: SURGICAL APPROACH AND 5 YEARS LONG TERM EVALUATIONBackground & aimThe immediate implant placement in a fresh socket after tooth extraction is considered a reliable therapeutic procedure and it presents the advantage of having a considerable amount of native bone. This technique also reduces the number of surgical procedures and the overall treatment time, obtaining the patientu2019s approval and satisfaction. The anterior aesthetic area is considered critical to treat: in fact it is fundamental to obtain hard and soft tissue stability in order to obtain long term biological and aesthetic success.Clinical studies showed that in several situations the technique reported here is also applicable in the aesthetic area and if exclusion criteria are respected, the results obtained can be predictable. However this concept is still controversial and some authors suggest delaying the placement and loading of the implant in the aesthetic area.The aim of this study is to evaluate and compare 2 study groups (immediate placement and loading- and delayed) of 20 single implants 10 for each group placed into the aesthetic area made by the same operator. Are included in this study only from incisors to canine area in upper and lower jaw and evaluated each one after 60 months.Materials & MethodsAfter a minimally traumatic extraction of the tooth, a different surgical approach was used.In the first DEALAYED study group (10 individual cases), depending on the presence of thin or thick gingiva and on the residual volume of buccal plate, the implant was placed with conventional protocol and delayed loading. In the second IMMEDIATE LOADING study group (10 individual cases), after the tooth extraction the implant was immediately placed and loaded without functional loading. In both study groups, if bone loss occurred in the buccal plate, an integration with GBR techniques and the use of biomaterials were necessary to fill the buccal gap. Good primary stability of the implant and a non-functional load were achieved in all loading cases.ConclusionsThe follow-up after 60 months, performed by clinical probing and radiographic evaluation and also supported by TC scan, shows that the results are comparable and that post-extractive implants with immediate non functional loading can be used in selected cases.The results obtained are good in both thin and thick biotype cases and it seems evident that it is possible to obtain predictable long term functional and aesthetic success. An accurate previous evaluation and study of each single case as biotype, hard and soft tissue and as well as residual buccal plate are always considered essential requirement criteria to obtain this data.
10-years follow up of immediate implant placement and immediate provisionalization in the esthetic zone-A case reportAuthors:Anoixiadou S., Vouros I.Affiliations:Dept. of Preventive Dentistry, Periodontology and Implant Biology, School of Dentistry, Aristotle University of Thessaloniki, Greece.BackgroundImmediate implant placement is an effective procedure from a functional point of view. Nevertheless, this approach is usually associated with soft-tissue recession. A careful presurgical diagnostic phase is essential in order to achieve predictable and long-lasting results. Immediate prosthetic provisionalization not only is capable on its own of shortening treatment time, but also plays an important role in conditioning the soft tissues during healing with the provisional prosthetic restoration.AimThe presentation of a case report where one immediate and one delayed implant were placed in the same patient. Both implants were immediately restored with non- functional, provisional restorations. A 10-year follow up of the case will be presented.Materials and MethodsA female patient, aged 19 years old, underwent orthodontic therapy, during which teeth 12 and 22 presented with root resorption. Both teeth were scheduled to be extracted and replaced with dental implants. Tooth #12 was extracted at a prior date by her general dentist 6 months prior to implant placement. Tooth #22 was extracted on the day of surgery, and two implants were placed. Bovine bone substitute (Bio-Oss) was placed to cover the gap between the body of the immediately placed implant and the buccal bone. Subsequently, the implants were immediately restored with temporary crowns, non-functionally loaded. ResultsFinal restorations were placed 4 months later, after successful osseointegration of the implants was confirmed. Clinical and radiographical examinations revealed that functional and esthetic results have withstood the test of time. No soft tissue recession was observed at the 10-year follow-up. The appropriate preoperative evaluation of the morphology of the alveolar process and the periodontal biotype, the surgical planning which provided a guide for proper implant placement, management of the peri-implant gap and the peri-implant soft tissues led to a successful result.ConclusionImmediate implant placement along with immediate provisional restoration in the maxillary anterior is a predictable approach with good long-term results, as long as proper treatment planning is performed.
Dental implants are used routinely throughout the world to replace missing teeth. With the broadening of treatment options and an increasing number of clinicians that provide implant therapy, it is important to ensure that the treatment methods used meet the highest clinical standards. The ITI Treatment Guide series is a compendium of evidence-based implant-therapy techniques in daily practice. Written by renowned clinicians and supported by contributors from expert practitioners, the ITI Treatment Guides provide a comprehensive overview of the various indicated treatment options. The management of different clinical situations is discussed with an emphasis on sound diagnostics, evidencebased treatment concepts, and predictable treatment outcomes with minimal risk to the patient. Volume 14 of the ITI Treatment Guide series aims to provide a comprehensive overview on immediate implant placement and immediate loading protocols for replacement of single or multiple teeth requiring extraction. This volume outlines the current literature on immediate implant placement and immediate loading and elaborates on our understanding of the biology surrounding tooth extraction and osseointegration that underpin these treatment concepts. The importance of patient and site selection in conjunction with comprehensive treatment planning is highlighted and a risk assessment tool to aid decision making is provided. All key aspects of both the surgical and loading procedures are described in order to provide protocols that optimize the final treatment outcome. This volume also presents 9 step-by-step clinical cases performed by experts in the field, and typical complications of immediate implants are discussed, along with recommendations on how these can be prevented.
Implant dentistry has become a standard option for the rehabilitation of fully and partially edentulous patients. With the ever-increasing number of dentists involved in implant dentistry, it is essential to ensure that their treatment methods follow the highest standard. The ITI Treatment Guide series, a compendium of evidence-based implant-therapy techniques in daily practice, is written by renowned clinicians and provides a comprehensive overview of various therapeutic options. Using an illustrated step-by-step approach, the ITI Treatment Guide shows practitioners how to manage different clinical situations, with the emphasis on sound diagnostics, evidence-based treatment concepts, and predictable treatment outcomes. The second volume of the ITI Treatment Guide is devoted to the restoration of partially dentate patients. Central to this volume of the ITI Treatment Guide are loading protocols available to the clinician and the patient and how they relate to various treatment indications, including both single and multiple missing teeth in the posterior and anterior regions of the mouth. Among potential topics for upcoming volumes are implant placement in extraction sockets, loading protocols in edentulous patients, implant therapy in the esthetic zone in extended edentulous spaces, and many more.
This atlas, in which a wealth of illustrations are supported by clear explanatory text, offers an up-to-date and comprehensive overview of the immediate restoration of teeth and immediate functional loading when using different implant systems and surfaces in patients with single tooth loss or partial or complete edentulism. It provides guidance on all aspects of technique, including procedures for impression and measurement taking, and describes the surgical and prosthetic protocols applicable in various settings. The coverage encompasses the more advanced techniques used for immediate loading of implants placed in conjunction with grafting/augmentation procedures or in fresh extraction sockets, as well as immediate implant loading for mandibular and maxillary full-arch rehabilitation. This atlas will help dental students and practitioners to gain a sound understanding of immediate loading techniques, including their indications and limitations, and to apply them optimally in their practice. The atlas also shows and explains how to integrate a full digital workflow from the intraoral scanner to solve complex cases in a simple way.
This book concisely elucidates the science underlying implant treatment in the aesthetic zone in partially edentulous patients and clearly describes the techniques and protocols used by world-leading experts in the field. The book is divided into four parts that address treatment planning; site preparation (hard and soft tissue augmentation); immediate implant placement and provisional restoration; and the design, fabrication, and delivery of the definitive implant prosthesis. Complex cases of this nature present a significant challenge to even the most well informed and experienced of doctors. Implants in the Aesthetic Zone has been specifically crafted to meet all the needs of the clinician involved in their management, providing a reliable road map for interdisciplinary implant treatment in clinical practice. The authors have been carefully selected from a wide range of fields for their expertise in particular areas of implant science or treatment.
This dissertation, "A Systematic Review on Survival and Success Rates of Implants Placed Immediately Into Fresh Extraction Sockets After at Least One Year" by Ka-yee, Lau, Lui, Pun, 劉嘉儀, 潘磊, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Background: Type I immediate implant placement has gained popularity because it may reduce treatment time, number of surgeries and post-extraction bone loss. However, this is potentially challenged by inadequate keratinized mucosa for flap adaptation and difficulties in achieving primary stability. Moreover, it has been proven that post-extraction bone loss is an inevitable biological process, which affects treatment outcomes. Objectives: To estimate survival and success rates of implants and the implantsupported prostheses, the prevalence of biological, technical and aesthetic complications, and the magnitude of soft and hard tissue changes following implant placement immediately into fresh extraction sockets. Material & methods: An electronic search in MEDLINE (PubMed) and the Cochrane library from 1991 to July 2010 was performed to include prospective studies on immediate implants with a mean follow-up time of at least 1 year. The survival rates were computed using the STATA statistical software. Weighted means of soft and hard tissue changes were obtained by the inverse variance method. Results: A total of 46 prospective studies, with a mean follow-up time of 2.08 years, were included. The annual failure rate of immediate implants was 0.82% (95% CI: 0.48%-1.39%), translating into the 2-year survival rate of 98.4% (97.3%-99.0%). Among the 5 factors analyzed [reasons for extraction, antibiotic use, position of implant (anterior versus posterior, maxilla versus mandible), type of loading], only the regimen of antibiotic use affected the survival rate significantly. Lower failure rates were found in groups that were provided with a course of post-operative antibiotics. The success of implant therapy was difficult to assess due to scarce reporting on biological, technical and aesthetic complications. Soft tissue changes occurred mostly in the first 3 months after the provision of restoration, and then stabilized towards end of the first year. Marginal bone loss predominantly took place in the first year after implant placement, with a magnitude generally less than 1mm. Controversy on hard tissue preservation with platform-switching technique remained unsolved. Conclusions: Despite the high survival rate observed, more long-term studies are necessary to determine the success of implant treatment provided immediately after tooth extraction. Special attention has to be given to aesthetic outcomes. DOI: 10.5353/th_b4696056 Subjects: Dental implants
Covering treatment planning to restoration, Principles and Practice of Single Implant Restorations is the first book specifically designed to train Endodontists and General Dentists for a single tooth implant and restorations. It describes surgical principles, implant placement, implant site preparation, bone grafts and bone substitute materials, tooth extraction, guided bone regeneration, immediate implant placement, surgical defects, and single-tooth esthetic considerations. Expert authors Dr. Mahmoud Torabinejad, Dr. Charles Goodacre, and Dr. Mohammed Sabeti provide detailed guidelines for the use of single tooth implants as an appropriate and compelling treatment tool. Single tooth implants have been established as a new tool by the AAE, allowing you to use single tooth implants as a part of overall treatment planning for patients with a tooth that must be extracted. Easy-to-follow content generally follows the diagnosis and treatment planning for a single tooth implant and restoration, describing how a clinician might actually perform a single tooth implant. Unique! Instructions designed exclusively for Endodontists and General Dentists doing endodontic work help you use single tooth implants to treat a diseased single tooth. Expert authors Torabinejad, Goodacre, and Sabeti are AAE leaders as well as instructors at Loma Linda University, one of the first schools to have a Master’s-level course in single-tooth implants, and have recruited contributors from top names in the endodontic and implant fields.
With more than 1,500 illustrations, this edition covers key topics including diagnosis and planning, basic implant surgery, advanced implant surgery, implant prosthodontics, and implant management. Also includes important information on observing and diagnosing patients.