The Journal of Advanced Prosthodontics

The Korean Academy of Prosthodonitics (대한치과보철학회)
권호 표지
DOI QR코드

DOI QR Code

Morphometric analysis of maxillary alveolar regions for immediate implantation

  • Park, Man-Soo (Department of Prosthodontics, Oral Science Research Center, Yonsei University College of Dentistry) ;
  • Park, Young-Bum (Department of Prosthodontics, Oral Science Research Center, Yonsei University College of Dentistry) ;
  • Choi, Hyunmin (Department of Prosthodontics, Oral Science Research Center, Yonsei University College of Dentistry) ;
  • Moon, Hong-Seok (Department of Prosthodontics, Oral Science Research Center, Yonsei University College of Dentistry) ;
  • Chung, Moon-Kyu (Department of Prosthodontics, Oral Science Research Center, Yonsei University College of Dentistry) ;
  • Cha, In-Ho (Department of Oral Maxillofacial Surgery, Oral Science Research Center, Yonsei University College of Dentistry) ;
  • Kim, Hee-Jin (Division in Anatomy and Developmental Biology, Department of Oral Biology, Oral Science Research Center, Yonsei University College of Dentistry) ;
  • Han, Dong-Hoo (Department of Prosthodontics, Oral Science Research Center, Yonsei University College of Dentistry)
  • Received : 2013.08.31
  • Accepted : 2013.11.18
  • Published : 2013.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

PURPOSE. The purpose of this study was to provide an actual guideline in determining the shape, diameter, and position of the implant in immediate implantation by the measurement of the thickness of facial and palatal plate, the thickness of cortical bone on the facial and palatal plate, the diameter of the root, and the distance between the roots in the cadavers. MATERIALS AND METHODS. The horizontal sections of 20 maxillae were measured and analyzed to obtain the average values. Resin blocks were produced and cut serially at 1 mm intervals from the cervical line to the root apex. Images of each section were obtained and the following measurements were performed: The thickness of the facial and palatal residual bone at each root surface, the thickness of the facial and palatal cortical bone at the interdental region, the diameter of all roots of each section on the faciopalatal and mesiodistal diameter, and the interroot distance. Three specimens with measurements close to the average values were chosen and 3-dimensional images were reconstructed. RESULTS. The thickness of the facial and palatal cortical bone at the interdental region in the maxilla, the buccal cortical bone was thicker in the posterior region compared to the anterior region. The interroot distance of the alveolar bone thickness between the roots increased from anterior to posterior region and from coronal to apical in the maxilla. CONCLUSION. In this study, the limited results of the morphometric analysis of the alveolar ridge using the sections of maxilla in the cadavers may offer the useful information when planning and selecting optimal implant for immediate implantation in the maxilla.

Keywords

References

  1. Akimoto K, Becker W, Persson R, Baker DA, Rohrer MD, O'Neal RB. Evaluation of titanium implants placed into simulated extraction sockets: a study in dogs. Int J Oral Maxillofac Implants 1999;14:351-60.
  2. Zarb GA, Schmitt A. The longitudinal clinical effectiveness of osseointegrated dental implants: the Toronto study. Part I: Surgical results. J Prosthet Dent 1990;63:451-7. https://doi.org/10.1016/0022-3913(90)90237-7
  3. Carlsson GE, Bergman B, Hedegård B. Changes in contour of the maxillary alveolar process under immediate dentures. A longitudinal clinical and x-ray cephalometric study covering 5 years. Acta Odontol Scand 1967;25:45-75. https://doi.org/10.3109/00016356709072522
  4. Lazzara RJ. Immediate implant placement into extraction sites: surgical and restorative advantages. Int J Periodontics Restorative Dent 1989;9:332-43.
  5. Parel SM, Triplett RG. Immediate fixture placement: a treatment planning alternative. Int J Oral Maxillofac Implants 1990;5:337-45.
  6. Denissen HW, Kalk W, Veldhuis HA, van Waas MA. Anatomic consideration for preventive implantation. Int J Oral Maxillofac Implants 1993;8:191-6.
  7. Sclar A. Ridge Preservation for Optimum Esthetics and Function: The "Bio-Col" Technique. Postgrad Dent 1999;6: 3-11.
  8. Watzek G, Haider R, Mensdorff-Pouilly N, Haas R. Immediate and delayed implantation for complete restoration of the jaw following extraction of all residual teeth: a retrospective study comparing different types of serial immediate implantation. Int J Oral Maxillofac Implants 1995;10:561-7.
  9. Koh RU, Rudek I, Wang HL. Immediate implant placement: positives and negatives. Implant Dent 2010;19:98-108. https://doi.org/10.1097/ID.0b013e3181d47eaf
  10. Oakley E, Rhyu IC, Karatzas S, Gandini-Santiago L, Nevins M, Caton J. Formation of the biologic width following crown lengthening in nonhuman primates. Int J Periodontics Restorative Dent 1999;19:529-41.
  11. Novaes AB Jr, Novaes AB. IMZ implants placed into extraction sockets in association with membrane therapy (Gengiflex) and porous hydroxyapatite: a case report. Int J Oral Maxillofac Implants 1992;7:536-40.
  12. Werbitt MJ, Goldberg PV. The immediate implant: bone preservation and bone regeneration. Int J Periodontics Restorative Dent 1992;12:206-17.
  13. Klokkevold PR, Han TJ, Camargo PM. Aesthetic management of extractions for implant site development: delayed versus staged implant placement. Pract Periodontics Aesthet Dent 1999;11:603-10.
  14. Juodzbalys G. Instrument for extraction socket measurement in immediate implant installation. Clin Oral Implants Res 2003;14:144-9. https://doi.org/10.1034/j.1600-0501.2003.140202.x
  15. Meredith N. Assessment of implant stability as a prognostic determinant. Int J Prosthodont 1998;11:491-501.
  16. Zarb GA, Schmitt A. Osseointegration and the edentulous predicament. The 10-year-old Toronto study. Br Dent J 1991; 170:439-44. https://doi.org/10.1038/sj.bdj.4807583
  17. Akimoto K, Becker W, Persson R, Baker DA, Rohrer MD, O'Neal RB. Evaluation of titanium implants placed into simulated extraction sockets: a study in dogs. Int J Oral Maxillofac Implants 1999;14:351-60.
  18. Paolantonio M, Dolci M, Scarano A, d'Archivio D, di Placido G, Tumini V, Piattelli A. Immediate implantation in fresh extraction sockets. A controlled clinical and histological study in man. J Periodontol 2001;72:1560-71. https://doi.org/10.1902/jop.2001.72.11.1560
  19. Saadoun AP, Sullivan DY, Krischek M, Le Gall M. Single tooth implant-management for success. Pract Periodontics Aesthet Dent 1994;6:73-80.
  20. Salama H, Salama M. The role of orthodontic extrusive remodeling in the enhancement of soft and hard tissue profiles prior to implant placement: a systematic approach to the management of extraction site defects. Int J Periodontics Restorative Dent 1993;13:312-33.
  21. Block MS, Kent JN. Placement of endosseous implants into tooth extraction sites. J Oral Maxillofac Surg 1991;49:1269-76. https://doi.org/10.1016/0278-2391(91)90302-3
  22. Araujo MG, Sukekava F, Wennstrom JL, Lindhe J. Ridge alterations following implant placement in fresh extraction sockets: an experimental study in the dog. J Clin Periodontol 2005;32:645-52. https://doi.org/10.1111/j.1600-051X.2005.00726.x