Evolution: Contemporary Protocols for Anterior Single-Tooth Implants

Gamborena, Iñaki; Blatz, Markus B.

doi:10.25241/stomaeduj.2017.4(1).bookreview.3

Cited by 17 publications

(32 citation statements)

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“…The provisioning phase is one of the key factors for the immediate implants since it maintains the normal gingival architecture after the removal of a dental element [ 25 ]. The prosthetic crown loaded under the implant defines the shape of the gingival tissue relative to the bone crest and the mesial/distal contact points, the emergence profile of the provisional crown favors the maturation of the peri-implant tissues during the period of osseointegration of the implant, and the sculpture of the subcritical area determines the stability of the vestibular gingival margin [ 26 , 27 ].…”

Section: Discussionmentioning

confidence: 99%

Application of Immediate Dentoalveolar Restoration in Alveolus Compromised with Loss of Immediate Implant in Esthetic Area

Franceschi¹,

Drechsel²,

Filho

2018

Case Reports in Dentistry

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In the reported clinical case, the immediate dentoalveolar restoration (IDR) technique was applied to reconstruct the buccal bone wall, with autogenous graft of the maxillary tuberosity, which had been lost due to a root fracture, and to provide the necessary bone substrate for the installation of an implant and its provisioning. One of the greatest risks inherent in the survival of immediate implants is the maintenance of their stability during the healing period. In this case, due to a mechanical trauma in sports activity in the first postoperative month, there was a total failure in the osseointegration process, confirmed by tomographic examination of both the implant and the bone graft. The deleterious effects of this accident were compensated with a new approach and reapplication of IDR technique using a smaller-diameter implant and with conical macrogeometry in conjunction with the new bone reconstruction under the same compromised alveolus; associated, after the period of osseointegration, with the maneuvers of volume increase of the gingival tissue by subepithelial connective tissue graft. The tomographic result demonstrated the success of the surgical procedures, and the clinical/photographic analysis obtained showed the stability of the gingival margin without compromising the esthetic result of the prosthetic restoration.

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Section: Discussionmentioning

confidence: 99%

Application of Immediate Dentoalveolar Restoration in Alveolus Compromised with Loss of Immediate Implant in Esthetic Area

Franceschi¹,

Drechsel²,

Filho

2018

Case Reports in Dentistry

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“…However, in a literature review, Teughels et al concluded that there is insufficient evidence to set a threshold for minimal buccal bone thickness to ensure an optimal esthetic outcome. In the same manner, it is stated elsewhere that even in thin‐bone situations or in cases of dehiscence, a satisfactory esthetic and stable result can be achieved if there is a sufficient volume of healthy soft tissue . It is imperative to mention that the assessment of the presence of dehiscence before the flap is elevated is not always a simple task: clinical analysis and CBCT imaging could be inconclusive when the bone that covers the buccal surface of the implant is thin .…”

Section: Analyzing Key Factors In Making Decisionsmentioning

confidence: 97%

“…It is important to note that, as mentioned above, the importance of the presence of buccal bone is still a matter of debate and there is not yet a consensus on the proper thickness. It has been stated that, even in presence of bone dehiscence, increasing the volume with a connective‐tissue graft can achieve satisfactory and stable results . Although combined reconstruction, involving the compensation of the two tissues (bone and soft tissues), appears to be the best course of action for cases with the presence of dehiscence‐type defects, there is no conclusive published data.…”

Section: Proposed Therapeutic Approachesmentioning

confidence: 99%

“…In the same manner, it is stated elsewhere that even in thin-bone situations or in cases of dehiscence, a satisfactory esthetic and stable result can be achieved if there is a sufficient volume of healthy soft tissue. 18,25 It is imperative to mention that the assessment of the presence of dehiscence before the flap is elevated is not always a simple task: clinical analysis and CBCT imaging could be inconclusive when the bone that covers the buccal surface of the implant is thin. 14 This analysis is easier when determining the presence of the interproximal bone because the presence of papillae, the sounding of the interproximal bone peak of the adjacent teeth, and periapical radiography will usually help facilitate this diagnosis.…”

Section: Peri-implant Soft-tissue Anatomymentioning

confidence: 99%

“…It has been stated that, even in presence of bone dehiscence, increasing the volume with a connective-tissue graft can achieve satisfactory and stable results. 25,37 Although combined reconstruction, involving the compensation of the two tissues (bone and soft tissues), appears to be the best course (Figures 9-15).…”

Section: Adequate Implant Positionmentioning

confidence: 99%

See 2 more Smart Citations

Therapeutic alternatives for addressing pink esthetic complications in single‐tooth implants: A proposal for a clinical decision tree

Carvalho¹,

Joly

Silva³

et al. 2019

J Esthet Restor Dent

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Objective Esthetic complications in implant therapy today represent a clinical challenge, when the aim is to overcome the sequelae and obtain a pleasing result. The current scientific literature about this topic is scarce and often based on case reports and the personal opinions of clinicians. Clinical considerations The aim of this article is to introduce a decision tree for diagnosis and treatment of complications, focusing on the pink esthetic of single‐tooth implants and based on three diagnostic pillars (3D implant position, peri‐implant hard‐tissue anatomy, and peri‐implant soft‐tissue anatomy). Different shortcomings have been identified for each of the three diagnostic areas. Conclusions Following this tree, the article proposes treatment alternatives including soft‐ and hard‐tissue reconstruction, implant submergence, orthodontic extrusion, and implant extraction in order to help clinicians establish a logical therapeutic sequence. Clinical Significance Guidelines for adequate diagnosis and management of single implant‐supported restorations with compromised esthetics is mandatory when attempt to overcome shortcoming in the pink esthetic result.

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The fate of the distal papilla around tooth‐bound implant‐supported restorations in maxillary central incisor sites

González‐Martín

Ávila‐Ortiz

2020

Journal of Periodontology

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The distal papilla around tooth-bound implant-supported restorations in maxillary central incisor sites tends to exhibit an atrophied aspect after tissue maturation following the delivery of the final prosthesis. This article provides an explanation to this phenomenon, as well as a set of therapeutic considerations to minimize its occurrence and optimize the outcomes of tooth replacement therapy with dental implants in this specific anatomic location.

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Evolution: Contemporary Protocols for Anterior Single-Tooth Implants

Cited by 17 publications

References 0 publications

Application of Immediate Dentoalveolar Restoration in Alveolus Compromised with Loss of Immediate Implant in Esthetic Area

Application of Immediate Dentoalveolar Restoration in Alveolus Compromised with Loss of Immediate Implant in Esthetic Area

Therapeutic alternatives for addressing pink esthetic complications in single‐tooth implants: A proposal for a clinical decision tree

The fate of the distal papilla around tooth‐bound implant‐supported restorations in maxillary central incisor sites

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