Implant–Buccal Plate Distance as Diagnostic Parameter: A Prospective Cohort Study on Implant Placement in Fresh Extraction Sockets
Background: The aim of this study is to investigate contour changes around immediate implants in fresh extraction sockets when different grafting procedures are performed, based on the distance between the external implant collar and the bony surface on the buccal plate (I‐BP). A secondary aim is to...
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| Veröffentlicht in: | Journal of periodontology (1970) 2013-12, Vol.84 (12), p.1768-1774 |
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| container_title | Journal of periodontology (1970) |
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| creator | Capelli, Matteo Testori, Tiziano Galli, Fabio Zuffetti, Francesco Motroni, Alessandro Weinstein, Roberto Del Fabbro, Massimo |
| description | Background: The aim of this study is to investigate contour changes around immediate implants in fresh extraction sockets when different grafting procedures are performed, based on the distance between the external implant collar and the bony surface on the buccal plate (I‐BP). A secondary aim is to assess the esthetic outcome via the implant esthetic score (IAS).
Methods: This prospective cohort study was performed in three centers. Suitable patients to undergo implant placement in fresh extraction sockets were selected. Periodontal biotype, horizontal and vertical peri‐implant bone defects, and dehiscences were assessed. Depending on I‐BP, two types of grafting procedures were performed. In group A (I‐BP |
| doi_str_mv | 10.1902/jop.2013.120474 |
| format | Article |
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Methods: This prospective cohort study was performed in three centers. Suitable patients to undergo implant placement in fresh extraction sockets were selected. Periodontal biotype, horizontal and vertical peri‐implant bone defects, and dehiscences were assessed. Depending on I‐BP, two types of grafting procedures were performed. In group A (I‐BP <4 mm), only the peri‐implant gap was grafted during the surgical phase (internal grafting [IG]), whereas group B (I‐BP ≥4 mm) received both internal and external grafting (IEG). Master casts of the sites, made before implant placement and after 1 year of loading, were optically scanned. A computerized analysis of the contour changes at the involved sites was performed by superimposing the scanned models.
Results: A total of 20 patients (eight males and 12 females) were recruited, and 20 non‐submerged implants were placed in fresh extraction sockets. No implant failed during the observation period. The mean follow‐up was 25 months (range: 12 to 37 months). After 1 year of loading, group A showed a slight decrease in mean buccal volume, whereas group B had an increase in volume (P = 0.02). IAS was higher for group B than group A.
Conclusions: When implants are placed immediately after tooth extraction, I‐BP may represent a useful diagnostic parameter in choosing the most appropriate grafting procedure (IG versus IEG). In clinical cases in which the distance between implant surface and the buccal plate is <4 mm, the combination of internal and external grafting (IEG) is recommended to maintain the volume and the contour of the ridge and achieve a successful esthetic outcome.</description><identifier>ISSN: 0022-3492</identifier><identifier>EISSN: 1943-3670</identifier><identifier>DOI: 10.1902/jop.2013.120474</identifier><identifier>PMID: 23472878</identifier><language>eng</language><publisher>United States: American Academy of Periodontology</publisher><subject>Adolescent ; Adult ; Aged ; Alveolar Bone Loss - surgery ; Alveolar Process - surgery ; Alveolar Ridge Augmentation - methods ; Bone regeneration ; bone substitutes ; Bone Transplantation - methods ; Cohort Studies ; dental esthetics ; Dental Implants ; Dentistry ; Esthetics, Dental ; Female ; Follow-Up Studies ; Humans ; Image Processing, Computer-Assisted - methods ; Male ; Middle Aged ; Periodontium - pathology ; Prospective Studies ; Surgical Flaps - surgery ; tooth extraction ; Tooth Socket - surgery ; Treatment Outcome ; Young Adult</subject><ispartof>Journal of periodontology (1970), 2013-12, Vol.84 (12), p.1768-1774</ispartof><rights>2013 American Academy of Periodontology</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4098-f91b481d13a5f3061dbaa9dc7fa87fa0d8e56e9bf8c825ac2b59cee36ee63f823</citedby><cites>FETCH-LOGICAL-c4098-f91b481d13a5f3061dbaa9dc7fa87fa0d8e56e9bf8c825ac2b59cee36ee63f823</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1902%2Fjop.2013.120474$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1902%2Fjop.2013.120474$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,782,786,1419,27931,27932,45581,45582</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23472878$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Capelli, Matteo</creatorcontrib><creatorcontrib>Testori, Tiziano</creatorcontrib><creatorcontrib>Galli, Fabio</creatorcontrib><creatorcontrib>Zuffetti, Francesco</creatorcontrib><creatorcontrib>Motroni, Alessandro</creatorcontrib><creatorcontrib>Weinstein, Roberto</creatorcontrib><creatorcontrib>Del Fabbro, Massimo</creatorcontrib><title>Implant–Buccal Plate Distance as Diagnostic Parameter: A Prospective Cohort Study on Implant Placement in Fresh Extraction Sockets</title><title>Journal of periodontology (1970)</title><addtitle>J Periodontol</addtitle><description>Background: The aim of this study is to investigate contour changes around immediate implants in fresh extraction sockets when different grafting procedures are performed, based on the distance between the external implant collar and the bony surface on the buccal plate (I‐BP). A secondary aim is to assess the esthetic outcome via the implant esthetic score (IAS).
Methods: This prospective cohort study was performed in three centers. Suitable patients to undergo implant placement in fresh extraction sockets were selected. Periodontal biotype, horizontal and vertical peri‐implant bone defects, and dehiscences were assessed. Depending on I‐BP, two types of grafting procedures were performed. In group A (I‐BP <4 mm), only the peri‐implant gap was grafted during the surgical phase (internal grafting [IG]), whereas group B (I‐BP ≥4 mm) received both internal and external grafting (IEG). Master casts of the sites, made before implant placement and after 1 year of loading, were optically scanned. A computerized analysis of the contour changes at the involved sites was performed by superimposing the scanned models.
Results: A total of 20 patients (eight males and 12 females) were recruited, and 20 non‐submerged implants were placed in fresh extraction sockets. No implant failed during the observation period. The mean follow‐up was 25 months (range: 12 to 37 months). After 1 year of loading, group A showed a slight decrease in mean buccal volume, whereas group B had an increase in volume (P = 0.02). IAS was higher for group B than group A.
Conclusions: When implants are placed immediately after tooth extraction, I‐BP may represent a useful diagnostic parameter in choosing the most appropriate grafting procedure (IG versus IEG). In clinical cases in which the distance between implant surface and the buccal plate is <4 mm, the combination of internal and external grafting (IEG) is recommended to maintain the volume and the contour of the ridge and achieve a successful esthetic outcome.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Alveolar Bone Loss - surgery</subject><subject>Alveolar Process - surgery</subject><subject>Alveolar Ridge Augmentation - methods</subject><subject>Bone regeneration</subject><subject>bone substitutes</subject><subject>Bone Transplantation - methods</subject><subject>Cohort Studies</subject><subject>dental esthetics</subject><subject>Dental Implants</subject><subject>Dentistry</subject><subject>Esthetics, Dental</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Image Processing, Computer-Assisted - methods</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Periodontium - pathology</subject><subject>Prospective Studies</subject><subject>Surgical Flaps - surgery</subject><subject>tooth extraction</subject><subject>Tooth Socket - surgery</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>0022-3492</issn><issn>1943-3670</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkM9O3DAQh60KBAvl3FvlI5cs_pfE4QbbpSxaiVWBs-U4kxKaxKnttOyth75B35AnwavdcuUwmrH0zafxD6FPlExpQdjZkx2mjFA-pYyIXHxAE1oInvAsJ3toQghjCRcFO0RH3j_FJxWcHKBDxkXOZC4n6O-iG1rdh5c__y5HY3SLV60OgL80PujeANY-zvp7b31oDF5ppzsI4M7xBV456wcwofkFeGYfrQv4LozVGtse77Qbm4EO4tT0-MqBf8Tz5-B03IrUnTU_IPiPaL_WrYeTXT9GD1fz-9l1srz9uphdLBMjSCGTuqClkLSiXKc1JxmtSq2LyuS1lrFIJSHNoChraSRLtWFlWhgAngFkvJaMH6PTrXdw9ucIPqiu8QbaeCnY0SsqMsZzQtI0omdb1MRPege1GlzTabdWlKhN9CpGrzbRq230cePzTj6WHVRv_P-sI5Bugd9NC-v3fOpmNf9G80zyVxnbktU</recordid><startdate>201312</startdate><enddate>201312</enddate><creator>Capelli, Matteo</creator><creator>Testori, Tiziano</creator><creator>Galli, Fabio</creator><creator>Zuffetti, Francesco</creator><creator>Motroni, Alessandro</creator><creator>Weinstein, Roberto</creator><creator>Del Fabbro, Massimo</creator><general>American Academy of Periodontology</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201312</creationdate><title>Implant–Buccal Plate Distance as Diagnostic Parameter: A Prospective Cohort Study on Implant Placement in Fresh Extraction Sockets</title><author>Capelli, Matteo ; Testori, Tiziano ; Galli, Fabio ; Zuffetti, Francesco ; Motroni, Alessandro ; Weinstein, Roberto ; Del Fabbro, Massimo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4098-f91b481d13a5f3061dbaa9dc7fa87fa0d8e56e9bf8c825ac2b59cee36ee63f823</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Alveolar Bone Loss - surgery</topic><topic>Alveolar Process - surgery</topic><topic>Alveolar Ridge Augmentation - methods</topic><topic>Bone regeneration</topic><topic>bone substitutes</topic><topic>Bone Transplantation - methods</topic><topic>Cohort Studies</topic><topic>dental esthetics</topic><topic>Dental Implants</topic><topic>Dentistry</topic><topic>Esthetics, Dental</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Image Processing, Computer-Assisted - methods</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Periodontium - pathology</topic><topic>Prospective Studies</topic><topic>Surgical Flaps - surgery</topic><topic>tooth extraction</topic><topic>Tooth Socket - surgery</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Capelli, Matteo</creatorcontrib><creatorcontrib>Testori, Tiziano</creatorcontrib><creatorcontrib>Galli, Fabio</creatorcontrib><creatorcontrib>Zuffetti, Francesco</creatorcontrib><creatorcontrib>Motroni, Alessandro</creatorcontrib><creatorcontrib>Weinstein, Roberto</creatorcontrib><creatorcontrib>Del Fabbro, Massimo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of periodontology (1970)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Capelli, Matteo</au><au>Testori, Tiziano</au><au>Galli, Fabio</au><au>Zuffetti, Francesco</au><au>Motroni, Alessandro</au><au>Weinstein, Roberto</au><au>Del Fabbro, Massimo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Implant–Buccal Plate Distance as Diagnostic Parameter: A Prospective Cohort Study on Implant Placement in Fresh Extraction Sockets</atitle><jtitle>Journal of periodontology (1970)</jtitle><addtitle>J Periodontol</addtitle><date>2013-12</date><risdate>2013</risdate><volume>84</volume><issue>12</issue><spage>1768</spage><epage>1774</epage><pages>1768-1774</pages><issn>0022-3492</issn><eissn>1943-3670</eissn><abstract>Background: The aim of this study is to investigate contour changes around immediate implants in fresh extraction sockets when different grafting procedures are performed, based on the distance between the external implant collar and the bony surface on the buccal plate (I‐BP). A secondary aim is to assess the esthetic outcome via the implant esthetic score (IAS).
Methods: This prospective cohort study was performed in three centers. Suitable patients to undergo implant placement in fresh extraction sockets were selected. Periodontal biotype, horizontal and vertical peri‐implant bone defects, and dehiscences were assessed. Depending on I‐BP, two types of grafting procedures were performed. In group A (I‐BP <4 mm), only the peri‐implant gap was grafted during the surgical phase (internal grafting [IG]), whereas group B (I‐BP ≥4 mm) received both internal and external grafting (IEG). Master casts of the sites, made before implant placement and after 1 year of loading, were optically scanned. A computerized analysis of the contour changes at the involved sites was performed by superimposing the scanned models.
Results: A total of 20 patients (eight males and 12 females) were recruited, and 20 non‐submerged implants were placed in fresh extraction sockets. No implant failed during the observation period. The mean follow‐up was 25 months (range: 12 to 37 months). After 1 year of loading, group A showed a slight decrease in mean buccal volume, whereas group B had an increase in volume (P = 0.02). IAS was higher for group B than group A.
Conclusions: When implants are placed immediately after tooth extraction, I‐BP may represent a useful diagnostic parameter in choosing the most appropriate grafting procedure (IG versus IEG). In clinical cases in which the distance between implant surface and the buccal plate is <4 mm, the combination of internal and external grafting (IEG) is recommended to maintain the volume and the contour of the ridge and achieve a successful esthetic outcome.</abstract><cop>United States</cop><pub>American Academy of Periodontology</pub><pmid>23472878</pmid><doi>10.1902/jop.2013.120474</doi><tpages>7</tpages></addata></record> |
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| ispartof | Journal of periodontology (1970), 2013-12, Vol.84 (12), p.1768-1774 |
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| source | MEDLINE; Access via Wiley Online Library |
| subjects | Adolescent Adult Aged Alveolar Bone Loss - surgery Alveolar Process - surgery Alveolar Ridge Augmentation - methods Bone regeneration bone substitutes Bone Transplantation - methods Cohort Studies dental esthetics Dental Implants Dentistry Esthetics, Dental Female Follow-Up Studies Humans Image Processing, Computer-Assisted - methods Male Middle Aged Periodontium - pathology Prospective Studies Surgical Flaps - surgery tooth extraction Tooth Socket - surgery Treatment Outcome Young Adult |
| title | Implant–Buccal Plate Distance as Diagnostic Parameter: A Prospective Cohort Study on Implant Placement in Fresh Extraction Sockets |
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