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Erschienen in: Oral and Maxillofacial Surgery 2/2015

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

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

Erschienen in: Oral and Maxillofacial Surgery | Ausgabe 2/2015

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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.
Literatur
1.
Zurück zum Zitat 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 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
2.
Zurück zum Zitat 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 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
3.
Zurück zum Zitat 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 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
4.
Zurück zum Zitat 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 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
5.
Zurück zum Zitat 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 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
6.
Zurück zum Zitat Lazzara RJ (1989) Immediate implant placement into extraction sites: surgical and restorative advantages. Int J Periodont Restor Dent 9:332–343 Lazzara RJ (1989) Immediate implant placement into extraction sites: surgical and restorative advantages. Int J Periodont Restor Dent 9:332–343
7.
Zurück zum Zitat Parel SM, Triplett RG (1990) Immediate fixture placement: a treatment planning alternative. Int J Oral Maxillofac Implants 5:337–345PubMed Parel SM, Triplett RG (1990) Immediate fixture placement: a treatment planning alternative. Int J Oral Maxillofac Implants 5:337–345PubMed
8.
Zurück zum Zitat Wohrle PS (1998) Single-tooth replacement in the aesthetic zone with immediate provisionalization: fourteen consecutive case reports. Pract Periodont Aesthet Dent 10:1107–1114 Wohrle PS (1998) Single-tooth replacement in the aesthetic zone with immediate provisionalization: fourteen consecutive case reports. Pract Periodont Aesthet Dent 10:1107–1114
9.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat Becker W, Goldstein M (2008) Immediate implant placement: treatment planning and surgical steps for successful outcome. Periodont 2000 47:79–89CrossRef Becker W, Goldstein M (2008) Immediate implant placement: treatment planning and surgical steps for successful outcome. Periodont 2000 47:79–89CrossRef
13.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat Chen ST, Buser D (2009) Clinical and esthetic outcomes of implants placed in postextraction sites. Int J Oral Maxillofac Implants 24(Suppl):186–217PubMed 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat Botticelli D, Berglundh T, Lindhe J (2004) Hard-tissue alterations following immediate implant placement in extraction sites. J Clin Periodontol 31:820–828CrossRefPubMed Botticelli D, Berglundh T, Lindhe J (2004) Hard-tissue alterations following immediate implant placement in extraction sites. J Clin Periodontol 31:820–828CrossRefPubMed
28.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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
Metadaten
Titel
Peri-implant bone response following immediate implants placed in the esthetic zone and with immediate provisionalization—a case series study
verfasst von
Carolina Martin
Geninho Thomé
Ana Cláudia Moreira Melo
Flavia Noemy Gasparini Kiatake Fontão
Publikationsdatum
01.06.2015
Verlag
Springer Berlin Heidelberg
Erschienen in
Oral and Maxillofacial Surgery / Ausgabe 2/2015
Print ISSN: 1865-1550
Elektronische ISSN: 1865-1569
DOI
https://doi.org/10.1007/s10006-014-0470-5

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