Dental Publication / Article Details |
Flapless Postextraction Socket Implant Placement in the Esthetic Zone: Part 1. The Effect of Bone Grafting and/or Provisional Restoration on Facial-Palatal Ridge Dimensional Change
Author(s):
Dennis P. Tarnow, DDS;Stephen J. Chu, DMD, MSD, CDT;Maurice Salama, DMD;Christian F.J. Stappert, DDS, MS, PhD, Priv-Doz;Henry Salama, DMD;David Garber, DMD;Guido O. Sarnachiaro, DDS; Evangelina Sarnachiaro, DDS; Sergio Luis Gotta, DDS; Hanae Saito, DDS, MS
Date Added:
7/3/2014
|
Summary:
The dental literature has reportted vertical soft tissue changes that can occur with immediate implant placement, bone grafting, and provisional restoration ranging from a gain or loss of 1.0mm. However, little is known of the effects of facial-palatal collapse of the ridge due to these clinical procedures. Based upon treatment modalities rendered, an ensuing contour change can occur with significant negative esthetic consequences. The results of a retrospective clinical cohort study evaluating the change in horizontal ridge dimension associated with implant placement in anterior postextraction sockets are presented for four treatment groups. Therefore, it is recommended to place a bone graft and contoured healing abutment or provisional restoration at the time of flapless postextraction socket implant placement.
|
|
Related Articles |
|
|
Intraoral Autogenous Block Onlay Bone Grafting for ExtensiveReconstruction of Atrophic Maxillary Alveolar Ridges
Autologous bone grafting used with dental implants was originally described by Bränemarketal in 1975, and is now a well-accepted procedure in oral and maxillofacial rehabilitation.Placement of an endosseous implant requires sufficient bone volume for complete bone coverage. Furthermore, the pattern of ridge resorption contributes to an unfavorable maxillomandibular relationship, requires angulations of the implants and/or angled abutments, and affects the proximity of adjacent facial concavities(maxillary sinus, nasal cavity) and vital structures(mandibular nerve).
|
|
|
|
Peridontal Osseous Surgery and Root Resective Therapy
Historically, osseous surgery was performed to eliminate infected bone. Early in the 20th century clinicians realized that periodontally affected bone was not actually infected. Instead of an invasive bacterial infection, chronic inflammation was responsible for bone destruction. This finding changed the rationale for periodontal therapy and led to modern concepts of osseous surgery. Currently accepted approaches are based on guidelines, parameters, and definitions published by many highly respected…
Author(s): |
Lee H. Silverstein, DDS, MS, FACD, FICD;David Kurtzman, Sidney H. Stein, Marc E. Moskowitz, Jerry J. Garnick |
|
View Article>>
|
|
|
|
|
Related Videos |
|
|
Novel Surgical BioSealing & Original BioProfiling Techniques - Part 1 of 2
Biphosphonates Related Osteonecrosis of the Jaw is one of the tragedies affecting our patients each time more often representing a new challenge in what we like to call human dentistry. This severe and unpredictable outcome can evolve from something as simple as a tooth extraction or simply an implant placement.
In this presentation the authors display one of the first BRONJ cases in the world treated with the surgical biosealing technique using the PRGF ENDORET graft. Understanding the BIOlogy behind the healing process has been as much surprising as useful in trying to alleviate our patients pain and improve their quality of life. This video presents a novel technique to the post-extraction site based upon taking care of the overall tissue support from the bone level and we will discuss treatment planning, options and limitations with this technique/protocol.
Presented By:: |
Filipe Lopes, DDS, DMD;Bernardo de Mira Corrêa, DDS, DMD |
Presentation Style: |
Video |
Community Rating: |
|
|
Watch Now>>
|
|
|
|
|
|
Related Courses |
|
|
|
Challenges & Management of Peri-Implant Pink Esthetics in Anterior Implant Therapy
When considering implant therapy in the esthetic zone, replicating the natural soft tissue frame may present challenges for the treating clinician. This presentation will highlight different clinical scenarios in which the lack of hard and soft tissue volume may pose difficulties in achieving ideal peri-implant esthetics, in addition to available clinical strategies on how to manage and minimize hard and soft tissue deficiencies when dealing with implant therapy in the esthetic zone.
Presented By:: |
Sherif Yousri Said, BDS |
Presentation Style: |
Online Self-Study Course |
CE Hours: |
1 CEU (Continuing Education Unit) |
|
Watch Now>>
|
|
|
|
|
Biologic Strategies to Enhance Clinical and Aesthetic Success in Oral Implantology
This webinar will discuss clinical strategies for treatment of the complex implant site involving bone grafting and implant placement. Our understanding of cellular pathways, and our ability to control the wound response, expands our capacity to effect better aesthetic outcomes and compress treatment time. The reduction of the inflammatory phase of tissue regeneration speeds up osseointegration, prevents crestal bone loss, maintains papillary form, increases the density of peri-implant bone and increases tissue biotype. This enhanced tissue response allows us to predictably treat even the most complex surgical cases, compress time to final reconstruction, and to maintain these favorable tissue outcomes over an extended period of time. The use of dental implants with advanced biologic features and the incorporation autologous growth factors will be demonstrated.
Presented By:: |
Robert J. Miller, DDS, FACD, DABOI |
Presentation Style: |
Online Self-Study Course |
CE Hours: |
1 CEU (Continuing Education Credit) |
|
Watch Now>>
|
|
|
|
|