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 language | English |
|---|---|
| Pages (from-to) | 158-174 |
| Number of pages | 17 |
| Journal | Italian Oral Surgery |
| Volume | 11 |
| Issue number | 5 |
| DOIs | |
| Publication status | Published - Nov 2012 |
Fingerprint
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 journal › Article
}
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 -