Analysis of the socket bone wall dimensions in the upper maxilla in relation to immediate implant placement

Huynh‐Ba, Guy; Pjetursson, Bjarni E.; Sanz, Mariano; Cecchinato, Denis; Ferrús, Jorge; Lindhe, Jan; Lang, Niklaus P.

doi:10.1111/j.1600-0501.2009.01870.x

Cited by 249 publications

(254 citation statements)

References 22 publications

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“…A study by Huynh--Ba et al [31] has shown that only a small portion of maxillary front teeth have a vestibular bone thickness greater than or equal to 2 mm (6.5%). As many as 78% of dental elements have a vestibular bone thickness less than 1 mm and 46% even less than or equal to 0.5 mm.…”

Section: Vertical and Horizontal Bone Resorption Following Immediate mentioning

confidence: 99%

Factors Influencing Immediate Maxillary Dental Implant Placement and Bone Resorption: A Review of the Literature and an Outlook on the Clinical Possibilities

Bianco¹

2016

Dent. Med. Probl.

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The insertion of dental implants immediately after teeth extractions has become a routine clinical procedure in implant dentistry, despite difficulties derived from several factors influencing bone resorption. The aim of this study is to evaluate the survival rate of implant positioned immediately after tooth extraction in the upper maxilla and to analyze the surgical techniques and the parameters to minimize physiological bone resorption. An electronic search in MEDLINE (PubMed) and the Cochrane library was performed to analyze the factors that may influence physiological bone resorption during immediate implant placement: surgical technique, position of the implant and bone grafting. Immediate implant placement is a predictable technique with a high success rate. It does not prevent bone resorption subsequent to tooth extraction, but there are some parameters to take into account to minimize the bone resorption itself. Despite the high survival rate, more long-term studies are necessary to evaluate the success of implants placed immediately into fresh extraction sockets in the upper maxillary. Special attention has to be given to aesthetic outcomes (Dent. Med. Probl. 2016, 53, 3, 408-412).

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Section: Vertical and Horizontal Bone Resorption Following Immediate mentioning

confidence: 99%

Factors Influencing Immediate Maxillary Dental Implant Placement and Bone Resorption: A Review of the Literature and an Outlook on the Clinical Possibilities

Bianco¹

2016

Dent. Med. Probl.

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“…En effet, il est admis qu'un positionnement palatin de l'implant et la présence d'une corticale vestibulaire de 2 mm permettent une meilleure vascularisation garantissant la stabilité de l'implant et des tissus mous sus-jacents [15]. Cependant, une analyse récente montre que cette épaisseur n'est retrouvée que dans 3 % des cas dans le secteur antérieur et, dans 87 %, elle est même égale ou inférieure à 1 mm [16]. Il existe donc souvent un risque de résorption de la table externe que l'avulsion implantation immédiate n'efface pas.…”

Section: Discussionunclassified

Facteurs décisionnels d’une extraction implantation mise en cosmétique immédiate unitaire

Mate

Limbour

Lambert

et al. 2015

Med Buccale Chir Buccale

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Résumé -Introduction :Le secteur antérieur représente un enjeu esthétique important. L'avulsion Implantation mise en cosmétique immédiate consiste en la mise en place d'un implant et de la restauration provisoire fixe dans la même séance. Observation : Il s'agissait d'une patiente en bonne santé générale ayant subi un traumatisme dentaire sur la 21. Après analyse clinique et radiologique, il était décidé de mettre en place un implant de 4,3 mm de diamètre et de 13 mm de long avec un platform switching (Nobel Biocare®). Un comblement du hiatus était réalisé à l'aide d'hydroxyapatite d'origine bovine faiblement résorbable (Bio Oss®) ainsi qu'une greffe conjonctive (prélèvement palatin). L'implantation était suivie de la mise en cosmétique immédiate par une prothèse provisoire (couronne dentaire de la dent extraite rebasée) en sous-occlusion. Les résultats esthétiques et fonctionnels à 1 an de mise en fonction étaient satisfaisants. Discussion : De nombreux protocoles ont été décrits dans la littérature d'où une difficulté à établir un consensus sur la technique la plus appropriée pour obtenir un taux de réussite au moins équivalent à la technique conventionnelle. Certaines études montrent même des taux d'échec plus importants, ce qui réserve cette technique à des cas particuliers (parodonte épais, table intègre, régénération osseuse guidée concomitante). Conclusion : Cette technique demeure une solution prometteuse qui nécessiterait la réalisation d'étude à long terme. Abstract -Decision-making factors of immediate implant placement and temporary restoration. Introduction:Anterior restorations are an important aesthetic issue . Immediate implant placement and temporary restoration is a technique in which the implant and fixed temporary restoration are placed during the same session. Observation: A healthy patient consulted with a broken left maxillary median incisor (21). After analysis of the clinical and radiological situation, a Nobel Replace PS 4,3x13mm implant (Nobelbiocare®) was chosen. The gap was filled with slightly absorbable hydroxyapatite of bovine origin (Bio-Oss®) and a gum graft of connective tissue (palatal sample). The temporary fixed restoration was the extracted natural tooth. One year later, the aesthetic and functional results were satisfactory, as expected. Discussion: Many protocols have been described in the literature, hence the difficulty of building a consensus on the most appropriate technique for a success rate at least equivalent to the conventional technique. Some studies even show a greater failure rate and reserve this technique for specific cases (thick periodontal tissues, integrate osseous table, concomitant guided bone regeneration).

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“…Current trend in implant therapy is shifting from conventional implant therapy to immediate implant therapy. According to Huynh-Ba et al, 10 placement of immediate implant may preserve bone dimensions. Analysis of bone dimensions is a must before immediate implant placement to determine the need of bone augmentation and appropriate treatment planning.…”

Section: Discussionmentioning

confidence: 99%

Alveolar Bone Dimensions of Mandibular Posterior Teeth using Cone Beam Computed Tomography: A Pilot Study

Kunte¹,

Bhoosreddy²,

Bhoosreddy³

et al. 2016

Journal of Contemporary Dentistry

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Aim: The aim of this study was to analyze bone dimensions of the dentate posterior mandible using cone beam computed tomography (CBCT). Objectives:The objectives of this study were • To measure thickness of buccal and lingual bone walls in mandibular posterior teeth using CBCT.• To measure alveolar bone width in mandibular posterior teeth using CBCT. Materials and methods:Ten CBCT scans were included in the study (n = 65 teeth). Thicknesses of buccal and lingual walls were measured at measurement point 1 (MP1) and measurement point 2 (MP2). Alveolar width was assessed at most coronal detected alveolar bone (BW1) and at superior border of mandibular canal (BW2). Vertical distance between BW1 and BW2 was measured (H). Data were tabulated and results were statistically analyzed using unpaired t test. Results:The study showed that there was an increase in bone wall thickness from 1st premolar to 2nd molar for buccal and lingual alveolar plates. Lingual bone walls were thicker than buccal bone walls at MP1 and MP2 for all teeth. Bone width for premolars was considerably less than bone width of molars. Conclusion:Careful preoperative analysis using CBCT is important to assess need of bone augmentation procedures. As the bone thickness and width in the molar region is more adequate, prognosis of implants placed in molar region may be better.Clinical significance: Analysis of bone dimensions is of utmost importance for successful outcome of bone augmentation procedures in implant treatment.

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Analysis of the socket bone wall dimensions in the upper maxilla in relation to immediate implant placement

Cited by 249 publications

References 22 publications

Factors Influencing Immediate Maxillary Dental Implant Placement and Bone Resorption: A Review of the Literature and an Outlook on the Clinical Possibilities

Factors Influencing Immediate Maxillary Dental Implant Placement and Bone Resorption: A Review of the Literature and an Outlook on the Clinical Possibilities

Facteurs décisionnels d’une extraction implantation mise en cosmétique immédiate unitaire

Alveolar Bone Dimensions of Mandibular Posterior Teeth using Cone Beam Computed Tomography: A Pilot Study

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