Does Grafting the Jumping Gap in Immediately Placed Anterior Implants Using Vestibular Socket Therapy Influence the Labial Bone Thickness?

Elaskary, Abdelsalam; Abdelrahman, Hams; Elsabagh, Hossam H.; El-Kimary, Gillan

doi:10.1016/j.joms.2022.05.001

Cited by 6 publications

(21 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The reasons for the exclusion were as follows: (1) dental techniques did not meet the chosen criteria for the study and (2) inability to access the article. Finally, nine articles were included in the study [21][22][23][24][25][26][27][28][29]. The flow chart of the screening process is shown in Figure 1.…”

Section: Resultsmentioning

confidence: 99%

“…Nine randomized clinical trials were analyzed with a total of 403 patients and 425 implants that we divided into three groups: bone graft (75 patients and 75 implants inserted), bone graft and membrane (213 patients and 235 implants inserted), and without bone graft (115 patients and 115 implants inserted). Regarding gender (Table 1), data were extracted only from seven out of the nine articles, totaling 156 men and 175 women [21][22][23][24][25]27,28].…”

Section: Study Characteristicsmentioning

confidence: 99%

See 1 more Smart Citation

The Use of Tissue Grafts Associated with Immediate Implant Placement to Achieve Better Peri-Implant Stability and Efficacy: A Systematic Review and Meta-Analysis

Rondone,

Leitão-Almeida,

Pereira

et al. 2024

JCM

View full text Add to dashboard Cite

Background: The goal of this systematic study and meta-analysis was to evaluate the efficacy of hard and/or soft tissue grafts associated with type-1 implants on healing and treatment outcomes. The primary outcomes studied were implant survival rate, pocket depth, marginal peri-implant recession, bone loss, bone thickness (volumetric change), interproximal bone level, mesial and distal papilla migration, and radiographic evaluation; and the secondary parameters were Pink Esthetic Score (PES), vertical distance from implant shoulder and bone, Visual Analogue Score (VAS), Implant Stability Quotient (ISQ), and biological complications (fistulas, pain, mucositis, and peri-implantitis). Methods: The PICO strategy was used to formulate the hypothesis under study: “For patients who underwent extraction and immediate implant placement, what is the efficacy of using any type of graft (bone or soft tissue) compared to non-grafting regarding the peri-implant parameters?” The electronic search process was performed on the MedLine/PubMed and Cochrane databases. It included randomized controlled trials (RCTs) from the last 11 years (from 2012 to November 2023), which were identified and analyzed. Results: Nine RCTs (κ = 0.98) were selected (403 patients and 425 implants); they were divided into three groups: bone graft (75 patients and 75 implants inserted), bone graft and membrane (213 patients and 235 implants inserted), and without bone graft (115 patients and 115 implants inserted). Three studies calculated the mid-facial mucosa level and two reported better results when a connective tissue graft was combined with the xenograft, whereas another study found better results in the combination of a dual-zone technique with a xenograft. Three studies evaluated the total Pink Esthetic Score (PES) at 12 months, where the authors found no significant difference in using a xenogeneic graft with or without a membrane. In the same period, the facial bone thickness was assessed in two articles; the authors reported better results in graft-treated and flapless groups. The risk-of-bias assessment found four studies with low risk, four with moderate risk, and one with a high risk of bias. The meta-analysis showed a medium level of heterogeneity for the mid-facial mucosa level analysis (I2 = 46%) and an overall effect size of 0.79 (95% CI [0.18; 1.40]), a statistically significant results (p = 0.01), with a tendency to favor the experimental group. Also, there was a medium level of heterogeneity among studies regarding total PES (I2 = 45%), with no significant differences between studies (p = 0.91). Homogeneous results (I2 = 0%) were found among studies analyzing facial bone thickness, favoring the experimental group; the forest plot showed an effect of 0.37 (95% CI [0.25; 0.50]), which was statistically significant (p < 0.00001) for this parameter. Conclusions: Then, it was possible to conclude that using bone and soft tissue grafting techniques associated with immediate implant placement (IIP), even though they are not fundamental, was a valuable resource to prevent significant tissue reduction, reaching greater bone stability and higher levels in the Pink Esthetic Score (PES) and Visual Analogue Score (VAS).

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

The Use of Tissue Grafts Associated with Immediate Implant Placement to Achieve Better Peri-Implant Stability and Efficacy: A Systematic Review and Meta-Analysis

Rondone,

Leitão-Almeida,

Pereira

et al. 2024

JCM

View full text Add to dashboard Cite

show abstract

“…The limitations of this study remains in the small sample size of the groups and the inapplicability of the technique for use in failed posterior teeth. Emphasis should be placed on adequately filling the socket defects and the jumping gap with bone graft components to achieve an optimal regeneration of the lost labial plate of bone [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

“…The technique entails a vestibular horizontal incision at the base of the mucogingival junction of the extracted tooth, followed by implant placement, grafting the defective socket walls via the vestibular access incision, then shielding the labial bone defect that is grafted with bone graft with cortical equine membrane. This study aims to compare the outcome and predictability of three grafting materials in treating the osseous defects in the maxillary anterior esthetic zone [ 11 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

Effect of three different grafting materials on immediate implant placement using vestibular socket therapy in class II extraction sockets in the maxillary esthetic zone: a randomized controlled clinical trial

Hamed,

El-Tonsy,

Elaskary

et al. 2023

BMC Oral Health

Self Cite

View full text Add to dashboard Cite

Background This study compared the effectiveness of three bone grafting materials used for treating class II fresh extraction sockets in the esthetic zone with immediate implant placement using Vestibular Socket Therapy (VST) to evaluate the pink esthetic score (PES), peri-implant mucosal levels (PML), and facial bone thickness (FBT). Methods Twenty-four surgical sites in the maxillary anterior region presented with type II socket defects received immediate implants and simultaneous bone grafting with either a collagen plug soaked in blood, demineralized bone matrix Grafton, or a particulate mixture of 2/3 autogenous bone chips and 1/3 deproteinized bovine bone mineral MinerOss X. The outcome measures were evaluated at 6 and 12 months. The study was registered on www.clinicaltrial.gov (12/07/2021 - ID: NCT04957654). Results Twenty-two cases (91.6%) showed a total PES score of > 10, without a significant difference between all groups. The vertical height soft tissue changes showed significant improvement in the Collagen plug and Grafton groups at 6 and 12 months, while MinerOss X showed no significant difference at 6 and 12 months compared to baseline. Radiographically, FBT was 0.72 ± 0.20, 0.44 ± 0.12, and 0.95 ± 0.37 at baseline, which significantly increased to 1.61 ± 0.88, 1.48 ± 1.20 and 2.31 ± 0.86 at 12 months for all three groups, respectively. Conclusion The use of a particulate bone graft mixture significantly increases the FBT compared to collagen plugs and DBM-Grafton when performing VST during immediate implant placement in compromised Class II extraction sockets.

show abstract

“…Many clinicians agree that using DBBM and CM is suitable for aesthetic purposes in the anterior area. These materials have shown effectiveness in bone regeneration and repair, as well as improving the cosmetic result of dental procedures in the area [3,12,13]. However, whether the conclusion of the anterior area is applicable to the posterior sites remains unknown.…”

Section: Introductionmentioning

confidence: 99%

Bone formation in large/moderate gap after immediate implantation in response to different treatments: a pre-clinical study in the canine posterior mandible

Zhang,

Wu,

Yang

et al. 2024

Clin Oral Invest

View full text Add to dashboard Cite

Objectives: This study aims to investigate different treatments on new bone formation around immediate implants in the canine posterior mandible with varying sized mesial-distal gap.Materials and methods: The 4 th premolar and the 1 st molar of six Labrador dogs were extracted from the mandible, and 4 dental implants were placed 1 mm below the level of the buccal bone crest.Moderate/large mesial-distal gaps between the implants and the sockets were treated with one of four methods and divided into the following groups: (1) the blank group, (2) the collagen membrane (CM) group, (3) the deproteinized bovine bone mineral (DBBM) group, and (4) the DBBM+CM group. Sequential uorescent labeling was performed at 4, 8, and 10 weeks after the operation. After 12 weeks, the dogs were euthanized, and specimens were collected for micro-CT scanning and histological analysis.Results: The survival rate of immediate implant was 100%. Micro-CT showed signi cant differences in bone mineral density (BMD) and bone volume fraction (BVF) among groups (P = 0.040, P = 0.009); other indicators were not signi cantly different among groups. Histological analysis showed the proportion of new bone formation and bone-to-implant contact were not signi cantly different among groups. No signi cant difference in bone reduction height around dental implant among four groups and varied mesial-distal gap size. Conclusion:Owing to the restricted sample size, this pilot study lacks conclusive ndings. Within the limitation, this study demonstrated that although DBBM signi cantly increase BMD and BVF, the use of DBBM/CM didn't signi cantly improve bone formation and healing in extraction sockets around the implants in both moderate and large mesial-distal gap.Clinical Relevance: The use of deproteinized bovine bone in conjunction with collagen is a common practice in immediate implantation procedures in the posterior mandible. However, there is a lack of conclusive evidence regarding the timing and circumstances under which they should be employed.

show abstract

Does Grafting the Jumping Gap in Immediately Placed Anterior Implants Using Vestibular Socket Therapy Influence the Labial Bone Thickness?

Cited by 6 publications

References 29 publications

The Use of Tissue Grafts Associated with Immediate Implant Placement to Achieve Better Peri-Implant Stability and Efficacy: A Systematic Review and Meta-Analysis

The Use of Tissue Grafts Associated with Immediate Implant Placement to Achieve Better Peri-Implant Stability and Efficacy: A Systematic Review and Meta-Analysis

Effect of three different grafting materials on immediate implant placement using vestibular socket therapy in class II extraction sockets in the maxillary esthetic zone: a randomized controlled clinical trial

Bone formation in large/moderate gap after immediate implantation in response to different treatments: a pre-clinical study in the canine posterior mandible

Contact Info

Product

Resources

About