Evaluation of Peri-implant Tissue Stability and Patient Satisfaction After Immediate Implant Placement in the Esthetic Area: A 3-Year Follow-up of an Ongoing Prospective Study

Barroso-Panella, Albert; Ortiz-Puigpelat, Octavi; Altuna, Pablo; Lucas-Taulé, Ernest; Hernández–Alfaro, Federico; Gargallo‐Albiol, Jordi

doi:10.11607/prd.4411

Cited by 7 publications

(7 citation statements)

References 16 publications

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“…Immediate implant placement and loading have demonstrated excellent long‐term success rates and esthetic outcomes 31 . It was shown that, in general, oral wellbeing was significantly better after implant therapy, but that patient satisfaction was particularly greater when implants were loaded immediately 32,33 …”

Section: Discussionmentioning

confidence: 99%

“…31 It was shown that, in general, oral wellbeing was significantly better after implant therapy, but that patient satisfaction was particularly greater when implants were loaded immediately. 32,33 In the presented case, a novel and in some respects highly innovative implant system with a unique connection and abutment design was used to replace a lateral incisor. In this case, due to a Class 2 malocclusion, anterior tooth splinting was suggested to maintain the desired esthetic result in the long term as the patient refused any orthodontics that could compensate the effects of continuous maxillary growth.…”

Section: Discussionmentioning

confidence: 99%

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Transmucosal abutments in the esthetic zone: Surgical and prosthetic considerations

Gamborena

Sasaki

Blatz

2023

J Esthet Restor Dent

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Objective: This article describes an updated step-by-step protocol for transmucosal abutment selection and treatment sequencing after immediate implant placement in the esthetic zone.Clinical Considerations: Current surgical and prosthetic concepts strive to preserve hard and soft-tissues to provide optimal esthetics at the implant-abutment interface.Consequently, restoring implants in the esthetic zone with transmucosal abutments presents a great challenge and must take into consideration implant depth, angulation, and bucco-lingual position as well as transmucosal height and space for an optimized emergence profile of the restoration and the dimensions of the anterior tooth to be restored. The proper selection of the type, shape, and dimensions of implant components and connections, determined by the product portfolio offered by the implant manufacturer, play a critical role in the ability to adequately address these challenges. This article provides an update on surgical and prosthetic workflows for single implant restorations in the esthetic zone.Conclusions: Following esthetic, mechanical, and biologic principles, the long-term success of implant-supported restorations in the esthetic zone is directly correlated to proper execution and sequencing of surgical and prosthetic treatment steps, especially after immediate implant placement. These steps must be critically assessed based on the current scientific evidence to achieve the desired clinical outcomes on a predictable and consistent basis.Clinical Significance: Selection of surgical and prosthetic treatment protocols to achieve ideal esthetic outcomes and emergence profiles in implant dentistry is often a great challenge, not only determined by technical and clinical skills of the provider but also by the type and dimensions of implant components and connections offered by the manufacturer. Following certain decision-making principles and workflows are key for clinical success with implant-supported restorations after immediate implant placement the esthetic zone.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Transmucosal abutments in the esthetic zone: Surgical and prosthetic considerations

Gamborena

Sasaki

Blatz

2023

J Esthet Restor Dent

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“…Immediate implant placement into fresh mandibular extraction sites has been described and reported by numerous authors. [11][12][13]…”

Section: Loading Protocols: Immediate Implant Placement (Single Teeth)mentioning

confidence: 99%

Full arch immediate occlusal loading using site specific implants: A clinical series of 10 patients (13 arches)

Morris

Steinberg

Drago

2022

Journal of Prosthodontics

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Osseointegration of dental endosseous implants has proven to be effective, predictable, and clinically successful. Unloaded healing protocols were originally used in treating edentulous patients. Full arch immediate occlusal loading protocols have been shown to be as effective as unloaded healing protocols. This paper reports on the results, benefits, and limitations of one specific immediate loading protocol using site specific implants for fresh extraction and healed extraction sites. Materials and methods: Ten consecutive patients [{13 arches} (age range: 64-81 years; average: 70.1) (4 males/6 females) were treated by the first 2 authors in private practice settings. Hopeless teeth were scheduled for extraction with immediate implant placement and immediate loading with insertion of full arch, screw-retained, acrylic resin interim prostheses within 24 hours. Implants were also placed into healed edentulous ridges. Insertion torque values for each implant were recorded. Interim prostheses were removed after at least 3 months of healing. Implants were reverse torque tested (35 Ncm) and evaluated for macroscopic mobility. Definitive full arch prostheses were made. Patients were followed for 21 to 48 months postimplant surgery. Panoramic radiographs were taken immediately postimplant placement and 1 year postoperative. Results: Thirteen arches were treated; 11 ultrawide diameter implants were placed into molar sockets, 26 inverted body-shift implants were placed into anterior sockets; 25 standard diameter, tapered implants were placed into edentulous sites; 2 zygomatic implants were placed in one patient. The total number of implants placed was 64 (4 preexisting implants were also used and not included in this study). The minimum implant insertion torque value was 20 Ncm. After 12 to 18 months of function (average 14 months), the implant and prosthetic survival rates were 100%. Eight patients were restored with definitive zirconia or acrylic resin hybrid fixed prostheses. Two patients were restored with bar titanium frameworks and removable overdenture prostheses. No prosthetic complications were reported for the definitive prostheses. Conclusions: The results of this clinical series with site specific implants and immediate full arch occlusal loading in treating edentulous patients resulted in 100% clinical implant and prosthetic survival rates. According to this study, this protocol can be used with high levels of anticipated success. K E Y W O R D S full arch immediate occlusal loading, inverted body, site-specific implants, ultrawide 204

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“…1 Furthermore, IIP shortens the entire treatment time and often allows early fixed provisionalization. 2 Provided that meticulous socket debridement is performed, a recent review concluded that immediate implants may be successfully osseointegrated also in infected sites. 3 Different strategies have been introduced to compensate for the alveolar collapse associated with tooth extraction, especially in the esthetic area, such as the use of various grafting materials, connective tissue grafts, flapless approach, and minimally invasive tooth extraction, and immediate restoration.…”

Section: Introductionmentioning

confidence: 99%

“…Immediate implant placement (IIP) has become an established procedure, with excellent clinical outcomes 1 . Furthermore, IIP shortens the entire treatment time and often allows early fixed provisionalization 2 . Provided that meticulous socket debridement is performed, a recent review concluded that immediate implants may be successfully osseointegrated also in infected sites 3 …”

Section: Introductionmentioning

confidence: 99%

Immediate implant and socket preservation using sticky bone and leukocyte‐platelet‐rich fibrin in the anterior maxilla: A 3‐year case report

Cirmeni¹,

Fedele²,

Giammarinaro³

et al. 2022

Clin Adv Periodontics

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IntroductionImmediate implant in the esthetic area is a challenging procedure. Chronic infection often contributes to extensive bone loss and acute infection often precludes a safe, clean surgery. However, it is quite common to come across failing teeth in the esthetic area, where the patient often demands a faster rehabilitation.Case PresentationIn this clinical case, a fractured upper central incisor was replaced by an immediate implant, and the perimetrical area was filled with heterologous bone blended with patient‐derived leukocyte‐ and platelet‐rich fibrin (L‐PRF) in the form of sticky bone. A Maryland bridge was bonded to the adjacent teeth with the intent to guarantee minimum esthetic to the patient. After 5 months, the implant was connected to a definitive abutment and crown. The facial and interdental soft tissue was maintained with appreciable success after 2 years. The pre‐treatment and 2‐year‐ post‐treatment computed tomography scans revealed marginal bone preservation.ConclusionThe use of sticky bone and L‐PRF in immediate implant sites helps prevent hard and soft‐tissue collapse and may favor faster and sounder healing.Key pointsWhy is this case new information? It provides support to the efficacy of immediate implant placement with simultaneous use of L‐PRF.What are the keys to successful management of this case? Having L‐PRF supporting wound healing.What are the primary limitations to success in this case? Having sufficient bone apical to the existing socket and at adjacent teeth.

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Evaluation of Peri-implant Tissue Stability and Patient Satisfaction After Immediate Implant Placement in the Esthetic Area: A 3-Year Follow-up of an Ongoing Prospective Study

Cited by 7 publications

References 16 publications

Transmucosal abutments in the esthetic zone: Surgical and prosthetic considerations

Transmucosal abutments in the esthetic zone: Surgical and prosthetic considerations

Full arch immediate occlusal loading using site specific implants: A clinical series of 10 patients (13 arches)

Immediate implant and socket preservation using sticky bone and leukocyte‐platelet‐rich fibrin in the anterior maxilla: A 3‐year case report

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