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The Biological Stability of Immediate Placement of Tapered Implants in Tooth Extraction Sites  

Park, Ja-young (Department of Prosthodontics. School of Dentistry, KyungHee University,Implant Center, Dental Hospital, KyungHee University)
Bae, Ahran (Department of Prosthodontics. School of Dentistry, KyungHee University,Implant Center, Dental Hospital, KyungHee University)
Kim, Hyung-Seub (Department of Prosthodontics. School of Dentistry, KyungHee University,Implant Center, Dental Hospital, KyungHee University)
Kwon, Yong-Dae (Department of Oral & Maxillofacial Surgery. School of Dentistry, KyungHee University,Implant Center, Dental Hospital, KyungHee University)
Lee, Baek-Soo (Department of Oral & Maxillofacial Surgery. School of Dentistry, KyungHee University,Implant Center, Dental Hospital, KyungHee University)
Kwon, Kung-Rock (Department of Prosthodontics. School of Dentistry, KyungHee University,Implant Center, Dental Hospital, KyungHee University)
Publication Information
Journal of Dental Rehabilitation and Applied Science / v.25, no.2, 2009 , pp. 139-155 More about this Journal
Abstract
Objective : To assess the biological stability of immediate transmucosal placement of tapered implants into tooth extraction sockets. Material and methods : Following tooth extraction, tapered implants were immediately placed into the sockets. Teeth with evidence of acute periapical pathology were excluded. After implant placement, sutured allowing a non-submerged, transmucosal healing. Standardized radiographs were obtained every visiting from baseline to 32 weeks after implant placment. Changes in depth of the distance from the implant shoulder (IS) and from the alveolar crest (AC) to the bottom of the defect (BD) were assessed. Results : Thirteen patients (10 males and 3 females) were enrolled and followed. They contributed with 15 tapered implants. extraction iste displayed sufficient residual bone volume to allow primary stability of all implants. The mean surgery time was $41{\pm}10.0$ mins. All implants healed uneventfully yielding a survival rate of 100%. Mean ISQ values were relatively stable. Interproximal crestal bone decreased $1.69{\pm}1.2mm$ (mesial), $1.65{\pm}1.2mm$ (distal) from baseline to 32-week follow-up. No statistically significant changes with respect to FMPS, FMBS, PPD and width of KG were observed. Conclusions: Immediate transmucosal implant placement represented a predictable treatment option for the replacement of teeth lost due to reasons including fractures, endodontic failures and caries.
Keywords
immediate implant placement; tapered implant; tranmucosal healing; crestal bone level; ISQ value;
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1 Sevor J, Meffert R, Block C. The immedate placement of dental implants into fresh maxillary extraction sites. Pract Periodontics Aesthet Dent. 1991;3:55-59
2 Rocci A, Martignoni M, Gottlow J. Immediate loading in the maxilla using flapless surgery, implants placed in predetermined positions, and prefabricated provisional restorations: A retrospective 3-year clinical study. Clin Imlant Dent Relat Res. 2003;5(Suppl 1):29-35   DOI   ScienceOn
3 Rosenquist B, Grenthe B. Immediate placement of implants into extraction sockets: Implant survival. Int J Oral Maxillofac Implants. 1999;142:210-216
4 Gomez-Roman G, Kruppenbacher M, Weber H, Schulte W. Immediate postextraction implant placement with roor-analog stepped implants: Surgical Procedure and statistical outcome after 6 years. Int J Oral Maxillofac Implants. 2001;16: 503-513
5 Araujo MG, Wennström JL, Lindhe J. Modeling of the buccal and lingual bone walls of fresh extraction sites following implant installation. Clin Oral Impl Res. 2006;17:606-614   DOI   ScienceOn
6 Meredith N, Alleyne D, Cawley P. Quantitative determination of the stability of the implant - tissue interface using resonance frequency analysis. Clin Oral Impl Res. 1996;7:261-267   DOI   ScienceOn
7 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(5):561-567
8 Chen ST, Wilson TG, Hämmerle CHF. Immediate or early placement of implants following tooth extraction : review of biologic basis, clinical procedures, and outcomes. Int J oral Maxillofac Implants. 2004;19(Suppl):12-25   ScienceOn
9 Lang P, Tonetti S, Suvan E. Immediate implant placement with transmucosal healing in areas of aesthetic priority : A multicenter randomized- controlled clinical trial I. Surgical outcomes. Clin Oral Impl Res. 2007;18:188-196   DOI   ScienceOn
10 Cafiero C, Annibali S, Gherlone E. Immediate transmucosal implant placement in molar extraction site: a 12-month prospective multicenter cohort study. Clin Oral Impl Res. 2008;19:476-482   DOI   ScienceOn
11 H$\ddot{a}$mmerle CHF, Br$\ddot{a}$gger U, Schmid B, Lang NP. Successful bone formation at immediate transmucosal implants: a clinical report. Int J Oral Maxillofac Implants. 1998;13:522-530
12 Br$\ddot{a}$gger U. Radiographic parameters for evaluation of peri-implant tissues. Periodontol 2000. 1994;4:87-97   DOI   ScienceOn
13 Schwartz-Arad D, Grossman Y, Chaushu G. The clinical effectiveness of implants placed immediately into fresh extraction sites of molar teeth. J Periodontol. 2000;71:839-844   DOI   ScienceOn
14 Araujo MG, Lindhe J. Dimensional ridge alterations following tooth extraction: an experimental study in the dog. J Clin Peirodontol. 2005;32:212-218   DOI   ScienceOn
15 Grunder U. Stability of the mucosal topography around single-tooth implants and adjacent teeth: 1-year results. Int J Periodontics Restorative Dent. 2000;20:11-17
16 Gomez-Roman G, Schulte W, d'Hoedt B, Axman - Kremar D. The Frialit-2 implant system: Five year clinical experience in single - tooth and immediately postextraction applications. Int J Oral Maxillofac Implants 1997;123:299-309
17 Botticelli D, Berglundh T, Lindhe J. Hard-tissue alterations following immediate implant placement in extraction sites. J Clin Periodontol. 2004a;31: 820-828   DOI   ScienceOn
18 Wilson Jr. Guided tissue regeneration around dental implants in immediate and recent extraction sites: initial observations. Int J Periodotics Restorative Dent. 1992;12(3):185-193
19 Esposito MA, Koukoulopoulou A, Coulthard P, Worthington HV. Interventions for replacing missing teeth: dental implants in fresh extraction sockets(immediate, immediate-delayed and delayed implants). Cochrane Database Systematic Reviews. 2006a;CD005968
20 Becker W, Becker BE. Guided tissue regeneration for implants placed into extraction sockets and for implant dehiscences: surgical techniques and case report. Int J Periodontics Restorative Dent. 1990;10:376-391
21 Cornelini R. Immediate transmucosal implant placement: A report of 2 cases. Int J Periodontics Restorative Dent. 2000;20:199-206
22 Esposito M, Worthington HV, Thomsen P, Coulthard P. Interventions for replacing missing teeth: different loading times for dental implants. Cochrane Database Systematic Reviews. 2006b;CD003878
23 Del Fabbro M, Testori T, Francetti L, Taschieri S, Weinstein R. Systematic review of survival rates for immediately loaded dental implants. Int J Periodontoltics Restorative Dent. 2006;26:249-263
24 Lazzara RJ. Immediate implant placement into extraction sites: surgical and restorative advantages. Int J Periodontics Restorative Dent. 1989;9:332-343   PUBMED
25 Heitz F. Heitz-Mayfield LJ, Lang NP. Effect of post-surgical cleansing protocols on early plaque control in periodontal and/or peri-implant wound healing. J Clin Peiodontol. 2004;31:1008-1012
26 Schultz AJ. Guided tissue regeneration(GTR) of nonsubmerged implants in immediate extraction sites. Pract Periodontics Aesthet Dent. 1993;52:59-65
27 Br$\ddot{a}$gger U, H$\ddot{a}$mmerle CHF, Lang NP. Immediate transmucosal implants using the principle of guided tissue regeneration II. A cross-sectional study comparing the clinical outcome 1 year after immediate or standard implant placement. Clin Oral Impl Res. 1996;7:268-276   DOI   ScienceOn
28 Johnson K. A study of the dimensional changes occuring in the maxilla after tooth extraction. Part I: Normal healing. Aust Dent J. 1963;8:428-434   DOI
29 Schropp I, Wenzel A, Kostopoulos L, Karring T. Bone healing and soft tissue contour changes following single tooth extraction: A clinical and radiographic 12-month prospective study. Int J Periodontics Restorative Dent. 2003;23:313-323
30 Yukna RA. Clinical comparison of hydroxyapatite -coated titanium dental implants placed in fresh extraction sockets and healed sites. J Periodontol. 1991;62:468-472   DOI   PUBMED
31 Bergkvist G, Sahlholm S, Karlsson U, Nilner K, Lindh C. Immediately loaded implants supporting fixed prostheses in the edentulous maxilla: a preliminary clinical and radiologic report. 2005;20:399-405
32 Botticelli D, Berglundh T, Lindhe J. Resolution of bone defects of varying dimension and configuration in the marginal portion of the peri-implant bone: an experimental study in the dog. J Clin Periodontol. 2004b;31:309-317   DOI   ScienceOn
33 Ganeles J, Wismeijer D. Early and immediately restored and loaded dental implants for single-tooth and partial-arch applications. Int J Oral Maxillofac Implants. 2004;19(Suppl):92-102
34 Schwartz-Arad D, Chaushu G. Immediate implant placement: A procedure without incisions. J Periodontol. 1998;697:743-750
35 Lang NP, Br$\ddot{a}$gger U, H$\ddot{a}$mmerle CHF. Immediate transmucosal implants using the principle of guided tissue regeneration(GTR). I. Rationale, clinical procedures, and 2 1/2-year results. Clin Oral Implats Res. 1994;5:154-163   DOI   ScienceOn
36 H$\ddot{a}$mmerle CHF, Lang NP. Single stage surgery combining transmucosal implant placement with guided bone regeneration and bioresorbable materials. Clin Oral Impl Res. 2001;12:9-18   DOI   ScienceOn
37 De Rouck T, Collys K, Cosyn J. Immediate single-tooth implants in the anterior maxilla: a 1-year case cohort study on hard and soft tissue response. J CLin Periodontol. 2008;35:649-657   DOI   ScienceOn
38 Jaffin RA, Kolesar M, Kumar A, Ishikawa S, Fiorellini J. The radiographic bone loss pattern adjacent to immediately placed, immediately loaded implants. Int J Oral Maxillofac Implants. 2007;22:187-194
39 Araujo MG, Sukekava F, Wennström JL, Lindhe J. Ridge alterations following implant placement in extraction socket: an experimental study in the dog. J Clin Periodontol. 2005;32:645-652   DOI   ScienceOn
40 Werbitt MJ, Goldberg PV. The immediate implant: bone preservation and bone regeneration. Int J Periodontics Restorative Dent. 1992;12:207-217
41 Lekovic V, Kenney EB, Weinlaender M. A bone regenerative approach to alveolar ridge maintenance following tooth extraction. Report of 10 cases. J Periodontol. 1997;686:563-570
42 Lekovic V, Camargo PM, Klokkevold PR. Preservation of alveolar bone in extraction sockets using bioabsorbable membranes. J Periodontol. 1998;69:1044-1049   DOI   PUBMED   ScienceOn
43 Chen ST, Dahlin C. Connective tissue grafting for primary closure of extraction sockets treated with an osteopromotive membrane technique: Surgical technique and clinical results. Int J Periodontics Restorative Dent. 1996;164:348-355
44 Z$\ddot{o}$llner A, Ganeles J, Korostoff J. Immediate and early non-occlusal loading of Straumann implants with a chemically modified surface (SLActive) in the posterior mandible and maxilla: interim results from a prospective multicenter randomized-controlled study. Clin Oral Impl Res. 2008;19:442-450   DOI   ScienceOn
45 Kan JY, Rungcharassaeng K, Umezu K, Kois JC. Dimensions of peri-implant mucosa: an evaluation of maxillary anterior single implants in humans. J Periodontol. 2003b;74:557-562   DOI   PUBMED
46 Watzek G, Haider R, Mensdorff-Pouilly N, Haas R. Immediate and delayed implantation for complete retoration of the jaw following extractionof all residual teeth: A retrospective study comparing different types of serial immediate implantation. Int J Oral Maxillofac Implants. 1995;105:561-567
47 Mensdorff-Pouilly N, Haas R, Mailath G, Watzek G. The immediate implant: A retrospective study comparing the different types of immediate implantation. Int J Oral Maxillofac Implants. 1994;9:571-578
48 Becker W, Becker BE, Handelsman M, Ochsenbein C, Albrektsson T. Guided tissue regeneration for implants placed into extraction sockets: a study in dogs. J Periodontol. 1991;62(11):703-709   DOI   PUBMED
49 Botticelli D, Persson LG, Lindhe J, Berglundh T. Bone tissue formation adjacent to implants placed in fresh extraction sockets: an experimental study in dogs. Clin Oral Impl Res. 2006;17:351-358   DOI   ScienceOn
50 Tortamano P, Oni TC, Yamanochi J, Nakamae AE, Guameri Tde C. Ooutcomes of fixed prostheses supported by immediately loaded endosseous implants. Int J Oral Maxillofac implants. 2006;21:63-70
51 Szmukler-Moncler S, Piattteli A, Favero GA, Dubruille JH. Considerations preliminary to the application of early and immediate loading protocols in dental implantology. Clin Oral Impl Res. 2000;11:12-25   DOI   ScienceOn