Esthetic risk assessment of immediate implant: Position paper and proposal of a novel diagnostic parameter

M. Capelli, T. Testori, F. Galli, F. Zuffetti, M. Del Fabbro

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Objectives: The aim of this paper is to assess the risk factors that could influence the esthetic and long term results of implant placement in fresh extraction sockets. Materials and methods: The immediate implant risk factors that could influence the final outcome are analyzed and could be summarized in: the peri-implant soft tissue biotype, the vestibular bone thickness, the alveolar host infected site, the residual peri-implant gap and the final implant position. Furthermore a diagnostic parameter that could influence the therapeutic approach is proposed. Discussion: Several factors have been proposed as being important in determining the stability of the peri-implant mucosa, including implant shoulder position in the bucco-lingual and apico-coronal direction and tissue biotype. The initial thickness of the buccal crestal bone may be a factor in determining the extent of the vestibular bone resorption. Thick soft and hard peri-implant tissues could contribute to marginal stability. Infected alveolar site is not a contradiction to implant placement and the peri-implant gap should be grafted in order to minimize the horizontal resorption. The implant position and diameter should be carefully analyzed in order to preserve peri-implant soft tissue stability. Conclusions: Marginal tissue recession, occurred at both thin and thick biotype sites. When implants are placed immediately after tooth extraction, the implant-vestibular plate distance is a critical parameter to evaluate, and can be a useful diagnostic parameter that guides the clinician in the choice of the most appropriate grafting procedure. Grafting the marginal defects may limit the horizontal resorption, however "overbuilding" the buccal aspect may be a suitable technique to compensate for the physiological alveolar bone changes.

Original languageEnglish
Pages (from-to)158-174
Number of pages17
JournalItalian Oral Surgery
Volume11
Issue number5
DOIs
Publication statusPublished - Nov 2012

Fingerprint

Esthetics
Zygoma
Bone and Bones
Tooth Extraction
Cheek
Bone Resorption
Tongue
Mucous Membrane
Therapeutics

Keywords

  • Alveolar socket
  • Bone graft
  • Bone resorption
  • Immediate dental implants
  • Post-extraction site

ASJC Scopus subject areas

  • Oral Surgery
  • Orthodontics

Cite this

Esthetic risk assessment of immediate implant : Position paper and proposal of a novel diagnostic parameter. / Capelli, M.; Testori, T.; Galli, F.; Zuffetti, F.; Del Fabbro, M.

In: Italian Oral Surgery, Vol. 11, No. 5, 11.2012, p. 158-174.

Research output: Contribution to journalArticle

Capelli, M. ; Testori, T. ; Galli, F. ; Zuffetti, F. ; Del Fabbro, M. / Esthetic risk assessment of immediate implant : Position paper and proposal of a novel diagnostic parameter. In: Italian Oral Surgery. 2012 ; Vol. 11, No. 5. pp. 158-174.
@article{194d101df9254580bdbc490e11b63e81,
title = "Esthetic risk assessment of immediate implant: Position paper and proposal of a novel diagnostic parameter",
abstract = "Objectives: The aim of this paper is to assess the risk factors that could influence the esthetic and long term results of implant placement in fresh extraction sockets. Materials and methods: The immediate implant risk factors that could influence the final outcome are analyzed and could be summarized in: the peri-implant soft tissue biotype, the vestibular bone thickness, the alveolar host infected site, the residual peri-implant gap and the final implant position. Furthermore a diagnostic parameter that could influence the therapeutic approach is proposed. Discussion: Several factors have been proposed as being important in determining the stability of the peri-implant mucosa, including implant shoulder position in the bucco-lingual and apico-coronal direction and tissue biotype. The initial thickness of the buccal crestal bone may be a factor in determining the extent of the vestibular bone resorption. Thick soft and hard peri-implant tissues could contribute to marginal stability. Infected alveolar site is not a contradiction to implant placement and the peri-implant gap should be grafted in order to minimize the horizontal resorption. The implant position and diameter should be carefully analyzed in order to preserve peri-implant soft tissue stability. Conclusions: Marginal tissue recession, occurred at both thin and thick biotype sites. When implants are placed immediately after tooth extraction, the implant-vestibular plate distance is a critical parameter to evaluate, and can be a useful diagnostic parameter that guides the clinician in the choice of the most appropriate grafting procedure. Grafting the marginal defects may limit the horizontal resorption, however {"}overbuilding{"} the buccal aspect may be a suitable technique to compensate for the physiological alveolar bone changes.",
keywords = "Alveolar socket, Bone graft, Bone resorption, Immediate dental implants, Post-extraction site",
author = "M. Capelli and T. Testori and F. Galli and F. Zuffetti and {Del Fabbro}, M.",
year = "2012",
month = "11",
doi = "10.1016/j.ios.2012.03.004",
language = "English",
volume = "11",
pages = "158--174",
journal = "Italian Oral Surgery",
issn = "1827-2452",
publisher = "Masson SpA",
number = "5",

}

TY - JOUR

T1 - Esthetic risk assessment of immediate implant

T2 - Position paper and proposal of a novel diagnostic parameter

AU - Capelli, M.

AU - Testori, T.

AU - Galli, F.

AU - Zuffetti, F.

AU - Del Fabbro, M.

PY - 2012/11

Y1 - 2012/11

N2 - Objectives: The aim of this paper is to assess the risk factors that could influence the esthetic and long term results of implant placement in fresh extraction sockets. Materials and methods: The immediate implant risk factors that could influence the final outcome are analyzed and could be summarized in: the peri-implant soft tissue biotype, the vestibular bone thickness, the alveolar host infected site, the residual peri-implant gap and the final implant position. Furthermore a diagnostic parameter that could influence the therapeutic approach is proposed. Discussion: Several factors have been proposed as being important in determining the stability of the peri-implant mucosa, including implant shoulder position in the bucco-lingual and apico-coronal direction and tissue biotype. The initial thickness of the buccal crestal bone may be a factor in determining the extent of the vestibular bone resorption. Thick soft and hard peri-implant tissues could contribute to marginal stability. Infected alveolar site is not a contradiction to implant placement and the peri-implant gap should be grafted in order to minimize the horizontal resorption. The implant position and diameter should be carefully analyzed in order to preserve peri-implant soft tissue stability. Conclusions: Marginal tissue recession, occurred at both thin and thick biotype sites. When implants are placed immediately after tooth extraction, the implant-vestibular plate distance is a critical parameter to evaluate, and can be a useful diagnostic parameter that guides the clinician in the choice of the most appropriate grafting procedure. Grafting the marginal defects may limit the horizontal resorption, however "overbuilding" the buccal aspect may be a suitable technique to compensate for the physiological alveolar bone changes.

AB - Objectives: The aim of this paper is to assess the risk factors that could influence the esthetic and long term results of implant placement in fresh extraction sockets. Materials and methods: The immediate implant risk factors that could influence the final outcome are analyzed and could be summarized in: the peri-implant soft tissue biotype, the vestibular bone thickness, the alveolar host infected site, the residual peri-implant gap and the final implant position. Furthermore a diagnostic parameter that could influence the therapeutic approach is proposed. Discussion: Several factors have been proposed as being important in determining the stability of the peri-implant mucosa, including implant shoulder position in the bucco-lingual and apico-coronal direction and tissue biotype. The initial thickness of the buccal crestal bone may be a factor in determining the extent of the vestibular bone resorption. Thick soft and hard peri-implant tissues could contribute to marginal stability. Infected alveolar site is not a contradiction to implant placement and the peri-implant gap should be grafted in order to minimize the horizontal resorption. The implant position and diameter should be carefully analyzed in order to preserve peri-implant soft tissue stability. Conclusions: Marginal tissue recession, occurred at both thin and thick biotype sites. When implants are placed immediately after tooth extraction, the implant-vestibular plate distance is a critical parameter to evaluate, and can be a useful diagnostic parameter that guides the clinician in the choice of the most appropriate grafting procedure. Grafting the marginal defects may limit the horizontal resorption, however "overbuilding" the buccal aspect may be a suitable technique to compensate for the physiological alveolar bone changes.

KW - Alveolar socket

KW - Bone graft

KW - Bone resorption

KW - Immediate dental implants

KW - Post-extraction site

UR - http://www.scopus.com/inward/record.url?scp=84869882576&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84869882576&partnerID=8YFLogxK

U2 - 10.1016/j.ios.2012.03.004

DO - 10.1016/j.ios.2012.03.004

M3 - Article

AN - SCOPUS:84869882576

VL - 11

SP - 158

EP - 174

JO - Italian Oral Surgery

JF - Italian Oral Surgery

SN - 1827-2452

IS - 5

ER -