The efficacy of immediate implant placement in the anterior maxilla with dehiscence in the facial alveolar bone: A case series

Background There is no clear evidence that immediate implant placement can be applied to cases with dehiscence in the facial alveolar bone prior to extraction. Purpose To evaluate the results of immediate implant placement in the anterior maxilla with facial alveolar bone dehiscence. Materials and M...

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Veröffentlicht in:Clinical implant dentistry and related research 2022-02, Vol.24 (1), p.72-82
Hauptverfasser: Mizuno, Keiichiro, Nakano, Tamaki, Shimomoto, Takuya, Fujita, Yuya, Ishigaki, Shoichi
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container_issue 1
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container_title Clinical implant dentistry and related research
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creator Mizuno, Keiichiro
Nakano, Tamaki
Shimomoto, Takuya
Fujita, Yuya
Ishigaki, Shoichi
description Background There is no clear evidence that immediate implant placement can be applied to cases with dehiscence in the facial alveolar bone prior to extraction. Purpose To evaluate the results of immediate implant placement in the anterior maxilla with facial alveolar bone dehiscence. Materials and Methods We super positioned pre‐ and post‐operative cone‐beam computed tomography (CBCT) three‐dimensional reconstruction images. A CBCT was taken before tooth extraction (T0), when the definitive restoration was placed (T1), and 1 year after placing the definitive restoration (T2). The depth and width of the dehiscence at T0, and the height and width of the facial hard and soft tissues are measured at the implant site at T1 and T2. We calculated the change in the amount of hard and soft tissues from T1 to T2 and determined the correlation between preoperative facial alveolar bone morphology and postoperative gingival recession. Results 13 women and 7 men were recruited. A total of 20 implants were evaluated. The implant survival rate was 100%. The mean facial alveolar bone dehiscence width was 3.9 ± 1.6 mm, and the mean depth from platform level was 2.9 ± 1.7 mm. The mean implant body exposure on the buccal was 4.8 ± 1.7 mm, and the mean socket width gap was 2.1 ± 0.8 mm. At T1, the mean facial hard tissue width was 2.1 ± 0.7 mm, and the mean height was 2.0 ± 0.7 mm. The mean change in vertical gingival recession from T1 to T2 was 0.5 ± 0.5 mm. We found a positive correlation between facial alveolar bone dehiscence width and gingival recession (r = 0.46, p‐value = 0.04) and between dehiscence depth and gingival recession (r = 0.48, p‐value = 0.03). Conclusions The results of our CBCT superposition method indicated that immediate implant placement can be considered in patients with facial alveolar bone dehiscence. However, there may be a higher risk of gingival recession with wide or deep dehiscence.
doi_str_mv 10.1111/cid.13059
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Purpose To evaluate the results of immediate implant placement in the anterior maxilla with facial alveolar bone dehiscence. Materials and Methods We super positioned pre‐ and post‐operative cone‐beam computed tomography (CBCT) three‐dimensional reconstruction images. A CBCT was taken before tooth extraction (T0), when the definitive restoration was placed (T1), and 1 year after placing the definitive restoration (T2). The depth and width of the dehiscence at T0, and the height and width of the facial hard and soft tissues are measured at the implant site at T1 and T2. We calculated the change in the amount of hard and soft tissues from T1 to T2 and determined the correlation between preoperative facial alveolar bone morphology and postoperative gingival recession. Results 13 women and 7 men were recruited. A total of 20 implants were evaluated. The implant survival rate was 100%. The mean facial alveolar bone dehiscence width was 3.9 ± 1.6 mm, and the mean depth from platform level was 2.9 ± 1.7 mm. The mean implant body exposure on the buccal was 4.8 ± 1.7 mm, and the mean socket width gap was 2.1 ± 0.8 mm. At T1, the mean facial hard tissue width was 2.1 ± 0.7 mm, and the mean height was 2.0 ± 0.7 mm. The mean change in vertical gingival recession from T1 to T2 was 0.5 ± 0.5 mm. We found a positive correlation between facial alveolar bone dehiscence width and gingival recession (r = 0.46, p‐value = 0.04) and between dehiscence depth and gingival recession (r = 0.48, p‐value = 0.03). Conclusions The results of our CBCT superposition method indicated that immediate implant placement can be considered in patients with facial alveolar bone dehiscence. However, there may be a higher risk of gingival recession with wide or deep dehiscence.</description><identifier>ISSN: 1523-0899</identifier><identifier>EISSN: 1708-8208</identifier><identifier>DOI: 10.1111/cid.13059</identifier><identifier>PMID: 34931737</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley &amp; Sons, Inc</publisher><subject>Alveolar bone ; bone defects ; Computed tomography ; Cone-Beam Computed Tomography - methods ; Dehiscence ; Dental Implants ; Dental Implants, Single-Tooth ; Evaluation ; Female ; Gingiva ; Gingival Recession ; guided bone regeneration ; Humans ; Image reconstruction ; immediate placement ; Male ; Maxilla ; Maxilla - diagnostic imaging ; Maxilla - surgery ; Recession ; Soft tissues ; Teeth ; Tissues ; Tooth Extraction ; Tooth extractions ; Tooth Socket - diagnostic imaging ; Tooth Socket - surgery ; Transplants &amp; implants ; Treatment Outcome</subject><ispartof>Clinical implant dentistry and related research, 2022-02, Vol.24 (1), p.72-82</ispartof><rights>2021 Wiley Periodicals LLC</rights><rights>2021 Wiley Periodicals LLC.</rights><rights>2022 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3539-4b4c6392580e3ef19545620eeefb04ed83070c16fc3e03a7972b51b9686a8c283</citedby><cites>FETCH-LOGICAL-c3539-4b4c6392580e3ef19545620eeefb04ed83070c16fc3e03a7972b51b9686a8c283</cites><orcidid>0000-0002-9623-5212 ; 0000-0002-8882-5597 ; 0000-0002-1328-081X ; 0000-0002-8000-230X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fcid.13059$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fcid.13059$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34931737$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mizuno, Keiichiro</creatorcontrib><creatorcontrib>Nakano, Tamaki</creatorcontrib><creatorcontrib>Shimomoto, Takuya</creatorcontrib><creatorcontrib>Fujita, Yuya</creatorcontrib><creatorcontrib>Ishigaki, Shoichi</creatorcontrib><title>The efficacy of immediate implant placement in the anterior maxilla with dehiscence in the facial alveolar bone: A case series</title><title>Clinical implant dentistry and related research</title><addtitle>Clin Implant Dent Relat Res</addtitle><description>Background There is no clear evidence that immediate implant placement can be applied to cases with dehiscence in the facial alveolar bone prior to extraction. Purpose To evaluate the results of immediate implant placement in the anterior maxilla with facial alveolar bone dehiscence. Materials and Methods We super positioned pre‐ and post‐operative cone‐beam computed tomography (CBCT) three‐dimensional reconstruction images. A CBCT was taken before tooth extraction (T0), when the definitive restoration was placed (T1), and 1 year after placing the definitive restoration (T2). The depth and width of the dehiscence at T0, and the height and width of the facial hard and soft tissues are measured at the implant site at T1 and T2. We calculated the change in the amount of hard and soft tissues from T1 to T2 and determined the correlation between preoperative facial alveolar bone morphology and postoperative gingival recession. Results 13 women and 7 men were recruited. A total of 20 implants were evaluated. The implant survival rate was 100%. The mean facial alveolar bone dehiscence width was 3.9 ± 1.6 mm, and the mean depth from platform level was 2.9 ± 1.7 mm. The mean implant body exposure on the buccal was 4.8 ± 1.7 mm, and the mean socket width gap was 2.1 ± 0.8 mm. At T1, the mean facial hard tissue width was 2.1 ± 0.7 mm, and the mean height was 2.0 ± 0.7 mm. The mean change in vertical gingival recession from T1 to T2 was 0.5 ± 0.5 mm. We found a positive correlation between facial alveolar bone dehiscence width and gingival recession (r = 0.46, p‐value = 0.04) and between dehiscence depth and gingival recession (r = 0.48, p‐value = 0.03). Conclusions The results of our CBCT superposition method indicated that immediate implant placement can be considered in patients with facial alveolar bone dehiscence. However, there may be a higher risk of gingival recession with wide or deep dehiscence.</description><subject>Alveolar bone</subject><subject>bone defects</subject><subject>Computed tomography</subject><subject>Cone-Beam Computed Tomography - methods</subject><subject>Dehiscence</subject><subject>Dental Implants</subject><subject>Dental Implants, Single-Tooth</subject><subject>Evaluation</subject><subject>Female</subject><subject>Gingiva</subject><subject>Gingival Recession</subject><subject>guided bone regeneration</subject><subject>Humans</subject><subject>Image reconstruction</subject><subject>immediate placement</subject><subject>Male</subject><subject>Maxilla</subject><subject>Maxilla - diagnostic imaging</subject><subject>Maxilla - surgery</subject><subject>Recession</subject><subject>Soft tissues</subject><subject>Teeth</subject><subject>Tissues</subject><subject>Tooth Extraction</subject><subject>Tooth extractions</subject><subject>Tooth Socket - diagnostic imaging</subject><subject>Tooth Socket - surgery</subject><subject>Transplants &amp; 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Nakano, Tamaki ; Shimomoto, Takuya ; Fujita, Yuya ; Ishigaki, Shoichi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3539-4b4c6392580e3ef19545620eeefb04ed83070c16fc3e03a7972b51b9686a8c283</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Alveolar bone</topic><topic>bone defects</topic><topic>Computed tomography</topic><topic>Cone-Beam Computed Tomography - methods</topic><topic>Dehiscence</topic><topic>Dental Implants</topic><topic>Dental Implants, Single-Tooth</topic><topic>Evaluation</topic><topic>Female</topic><topic>Gingiva</topic><topic>Gingival Recession</topic><topic>guided bone regeneration</topic><topic>Humans</topic><topic>Image reconstruction</topic><topic>immediate placement</topic><topic>Male</topic><topic>Maxilla</topic><topic>Maxilla - diagnostic imaging</topic><topic>Maxilla - surgery</topic><topic>Recession</topic><topic>Soft tissues</topic><topic>Teeth</topic><topic>Tissues</topic><topic>Tooth Extraction</topic><topic>Tooth extractions</topic><topic>Tooth Socket - diagnostic imaging</topic><topic>Tooth Socket - surgery</topic><topic>Transplants &amp; implants</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mizuno, Keiichiro</creatorcontrib><creatorcontrib>Nakano, Tamaki</creatorcontrib><creatorcontrib>Shimomoto, Takuya</creatorcontrib><creatorcontrib>Fujita, Yuya</creatorcontrib><creatorcontrib>Ishigaki, Shoichi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical implant dentistry and related research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mizuno, Keiichiro</au><au>Nakano, Tamaki</au><au>Shimomoto, Takuya</au><au>Fujita, Yuya</au><au>Ishigaki, Shoichi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The efficacy of immediate implant placement in the anterior maxilla with dehiscence in the facial alveolar bone: A case series</atitle><jtitle>Clinical implant dentistry and related research</jtitle><addtitle>Clin Implant Dent Relat Res</addtitle><date>2022-02</date><risdate>2022</risdate><volume>24</volume><issue>1</issue><spage>72</spage><epage>82</epage><pages>72-82</pages><issn>1523-0899</issn><eissn>1708-8208</eissn><abstract>Background There is no clear evidence that immediate implant placement can be applied to cases with dehiscence in the facial alveolar bone prior to extraction. Purpose To evaluate the results of immediate implant placement in the anterior maxilla with facial alveolar bone dehiscence. Materials and Methods We super positioned pre‐ and post‐operative cone‐beam computed tomography (CBCT) three‐dimensional reconstruction images. A CBCT was taken before tooth extraction (T0), when the definitive restoration was placed (T1), and 1 year after placing the definitive restoration (T2). The depth and width of the dehiscence at T0, and the height and width of the facial hard and soft tissues are measured at the implant site at T1 and T2. We calculated the change in the amount of hard and soft tissues from T1 to T2 and determined the correlation between preoperative facial alveolar bone morphology and postoperative gingival recession. Results 13 women and 7 men were recruited. A total of 20 implants were evaluated. The implant survival rate was 100%. The mean facial alveolar bone dehiscence width was 3.9 ± 1.6 mm, and the mean depth from platform level was 2.9 ± 1.7 mm. The mean implant body exposure on the buccal was 4.8 ± 1.7 mm, and the mean socket width gap was 2.1 ± 0.8 mm. At T1, the mean facial hard tissue width was 2.1 ± 0.7 mm, and the mean height was 2.0 ± 0.7 mm. The mean change in vertical gingival recession from T1 to T2 was 0.5 ± 0.5 mm. We found a positive correlation between facial alveolar bone dehiscence width and gingival recession (r = 0.46, p‐value = 0.04) and between dehiscence depth and gingival recession (r = 0.48, p‐value = 0.03). Conclusions The results of our CBCT superposition method indicated that immediate implant placement can be considered in patients with facial alveolar bone dehiscence. However, there may be a higher risk of gingival recession with wide or deep dehiscence.</abstract><cop>Hoboken, USA</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>34931737</pmid><doi>10.1111/cid.13059</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-9623-5212</orcidid><orcidid>https://orcid.org/0000-0002-8882-5597</orcidid><orcidid>https://orcid.org/0000-0002-1328-081X</orcidid><orcidid>https://orcid.org/0000-0002-8000-230X</orcidid></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Alveolar bone
bone defects
Computed tomography
Cone-Beam Computed Tomography - methods
Dehiscence
Dental Implants
Dental Implants, Single-Tooth
Evaluation
Female
Gingiva
Gingival Recession
guided bone regeneration
Humans
Image reconstruction
immediate placement
Male
Maxilla
Maxilla - diagnostic imaging
Maxilla - surgery
Recession
Soft tissues
Teeth
Tissues
Tooth Extraction
Tooth extractions
Tooth Socket - diagnostic imaging
Tooth Socket - surgery
Transplants & implants
Treatment Outcome
title The efficacy of immediate implant placement in the anterior maxilla with dehiscence in the facial alveolar bone: A case series
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