Browse > Article

IMMEDIATE IMPLANT PLACEMENT AFTER EXTRACTION OF RETAINED DECIDUOUS TEETH AND IMPACTED CANINES: REPORT OF A CASE  

Yoo, Ji-Yeon (Dept. of Oral and Maxillofacial Surgery, School of Dentistry, Kyung-Hee University)
Kim, Yeo-Gab (Dept. of Oral and Maxillofacial Surgery, School of Dentistry, Kyung-Hee University)
Lee, Baek-Soo (Dept. of Oral and Maxillofacial Surgery, School of Dentistry, Kyung-Hee University)
Kwon, Yong-Dae (Dept. of Oral and Maxillofacial Surgery, School of Dentistry, Kyung-Hee University)
Choi, Byung-Joon (Dept. of Oral and Maxillofacial Surgery, School of Dentistry, Kyung-Hee University)
Kim, Young-Ran (Dept. of Oral and Maxillofacial Surgery, School of Dentistry, Kyung-Hee University)
Baek, Jin (Dept. of Prothodontics, School of Dentistry, Kyung-Hee University)
Publication Information
Maxillofacial Plastic and Reconstructive Surgery / v.31, no.4, 2009 , pp. 330-333 More about this Journal
Abstract
Alveolar bone resorption after extraction impairs the necessary bone volume and complicates the case for implant surgery and aesthetic implant prosthesis. Immediate implant surgery after extraction decreases the number of surgical procedures and the duration of treatment, while allowing minimum alveolar bone resorption and preserving the residual bone volume. Although immediate implant holds many advantages such as preservation of hard and soft tissue around the extraction socket, greater implant survival rate and higher patient satisfaction, various complications and high failure rate are discouraging factors for the clinicians. In this case report, severe alveolar bone resorption with soft tissue changes were predicted after the extraction of prolonged retained deciduous incisors and impacted maxillary canines and thus decided on immediate implant procedure. Immediate implant surgery after extraction was carried out with minimal bone reduction and tapered wide-neck implant to establish initial stability. Simultaneous bone graft was done by filling the defect area with iliac cancellous bone with additional onlay-type bone graft and absorbable membrane on the labial bone for upper lip support. A stable and esthetic result was obtained with shortened treatment period.
Keywords
Immediate implant; Iliac bone graft; ISQ;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Schwartz-Arad D, Chaushu G : Placement of implants into fresh extraction sites : 4 to 7 years retrospective evaluation of 95 immediate implants. J Periodontol 68 : 1110, 1997   DOI   PUBMED   ScienceOn
2 Schropp L, Isidor F : Timing of implant placement relative to tooth extraction. J Oral Rehabil 35 Suppl 1 : 33, 2008   DOI   ScienceOn
3 Araujo MG, Lindhe J : Dimensional ridge alterations following tooth extraction. An experimental study in the dog. J Clin Periodontol 32 : 212, 2005   DOI   ScienceOn
4 Lindeboom JA, Tjiook Y, Kroon FH : Immediate placement of implants in periapical infected sites: a prospective randomized study in 50 patients. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 101 : 705, 2006   DOI   ScienceOn
5 Lioubavina-Hack N, Lang NP, Karring T : Significance of primary stability for osseointegration of dental implants. Clin Oral Implants Res 17 : 244, 2006   DOI   ScienceOn
6 Meredith N : Assessment of implant stability as a prognostic determinant. Int J Prosthodont 11 : 491, 1998   PUBMED
7 Wheeler SL, Vogel RE, Casellini R : Tissue preservation and maintenance of optimum esthetics: a clinical report. Int J Oral Maxillofac Implants 15 : 265, 2000
8 Adell R, Lekholm U, Rockler B et al : A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. Int J Oral Surg 10 : 387, 1981   DOI   PUBMED
9 Schwartz-Arad D, Chaushu G : The ways and wherefores of immediate placement of implants into fresh extraction sites: a literature review. J Periodontol 68 : 915, 1997   DOI   PUBMED   ScienceOn
10 Araujo MG, Sukekava F, Wennstrom JL et al : Ridge alterations following implant placement in fresh extraction sockets: an experimental study in the dog. J Clin Periodontol 32 : 645, 2005   DOI   ScienceOn