Soft tissues healing at immediate transmucosal implants placed into molar extraction sites with buccal self-contained dehiscences. A 12-month controlled clinical trial

Aim: To assess soft tissues healing at immediate transmucosal implants placed into molar extraction sites with buccal self‐contained dehiscences. Material and methods: For this 12‐month controlled clinical trial, 15 subjects received immediate transmucosal tapered‐effect (TE) implants placed in mola...

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Veröffentlicht in:Clinical oral implants research 2009-05, Vol.20 (5), p.482-488
Hauptverfasser: Siciliano, V. Iorio, Salvi, G. E., Matarasso, S., Cafiero, C., Blasi, A., Lang, N. P.
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container_end_page 488
container_issue 5
container_start_page 482
container_title Clinical oral implants research
container_volume 20
creator Siciliano, V. Iorio
Salvi, G. E.
Matarasso, S.
Cafiero, C.
Blasi, A.
Lang, N. P.
description Aim: To assess soft tissues healing at immediate transmucosal implants placed into molar extraction sites with buccal self‐contained dehiscences. Material and methods: For this 12‐month controlled clinical trial, 15 subjects received immediate transmucosal tapered‐effect (TE) implants placed in molar extraction sockets displaying a buccal bone dehiscence (test sites) with a height and a width of ≥3 mm, respectively. Peri‐implant marginal defects were treated according to the principles of Guided Bone Regeneration (GBR) by means of deproteinized bovine bone mineral particles in conjunction with a bioresorbable collagen membrane. Fifteen subjects received implants in healed molar sites (control sites) with intact buccal alveolar walls following tooth extraction. In total, 30 TE implants with an endosseous diameter of 4.8 mm and a shoulder diameter of 6.5 mm were used. Flaps were repositioned and sutured, allowing non‐submerged, transmucosal soft tissues healing. At the 12‐month follow‐up, pocket probing depths (PPD) and clinical attachment levels (CAL) were compared between implants placed in the test and the control sites, respectively. Results: All subjects completed the 12‐month follow‐up period. All implants healed uneventfully, yielding a survival rate of 100%. After 12 months, statistically significantly higher (P
doi_str_mv 10.1111/j.1600-0501.2008.01688.x
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A 12-month controlled clinical trial</title><source>MEDLINE</source><source>Wiley Online Library All Journals</source><creator>Siciliano, V. Iorio ; Salvi, G. E. ; Matarasso, S. ; Cafiero, C. ; Blasi, A. ; Lang, N. P.</creator><creatorcontrib>Siciliano, V. Iorio ; Salvi, G. E. ; Matarasso, S. ; Cafiero, C. ; Blasi, A. ; Lang, N. P.</creatorcontrib><description>Aim: To assess soft tissues healing at immediate transmucosal implants placed into molar extraction sites with buccal self‐contained dehiscences. Material and methods: For this 12‐month controlled clinical trial, 15 subjects received immediate transmucosal tapered‐effect (TE) implants placed in molar extraction sockets displaying a buccal bone dehiscence (test sites) with a height and a width of ≥3 mm, respectively. Peri‐implant marginal defects were treated according to the principles of Guided Bone Regeneration (GBR) by means of deproteinized bovine bone mineral particles in conjunction with a bioresorbable collagen membrane. Fifteen subjects received implants in healed molar sites (control sites) with intact buccal alveolar walls following tooth extraction. In total, 30 TE implants with an endosseous diameter of 4.8 mm and a shoulder diameter of 6.5 mm were used. Flaps were repositioned and sutured, allowing non‐submerged, transmucosal soft tissues healing. At the 12‐month follow‐up, pocket probing depths (PPD) and clinical attachment levels (CAL) were compared between implants placed in the test and the control sites, respectively. Results: All subjects completed the 12‐month follow‐up period. All implants healed uneventfully, yielding a survival rate of 100%. After 12 months, statistically significantly higher (P&lt;0.05) PPD and CAL values were recorded around implants placed in the test sites compared with those placed in the control sites. Conclusions: The findings of this controlled clinical trial showed that healing following immediate transmucosal implant installation in molar extraction sites with wide and shallow buccal dehiscences yielded less favorable outcomes compared with those of implants placed in healed sites, and resulted in lack of ‘complete’ osseointegration.</description><identifier>ISSN: 0905-7161</identifier><identifier>EISSN: 1600-0501</identifier><identifier>DOI: 10.1111/j.1600-0501.2008.01688.x</identifier><identifier>PMID: 19281503</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; Animals ; Bone Matrix - transplantation ; buccal dehiscence ; Cattle ; Chi-Square Distribution ; Crowns ; Dental Implantation, Endosseous - methods ; Dental Implants, Single-Tooth ; Dental Prosthesis, Implant-Supported ; Dental Restoration Failure ; Dentistry ; extraction socket ; Female ; Follow-Up Studies ; Guided Bone Regeneration (GBR) ; Guided Tissue Regeneration, Periodontal - methods ; Humans ; immediate implants ; Male ; Middle Aged ; Minerals - therapeutic use ; Molar ; Mouth Mucosa - physiology ; Osseointegration - drug effects ; Osseointegration - physiology ; Periodontal Index ; Prospective Studies ; Surgical Wound Dehiscence - complications ; Surgical Wound Dehiscence - therapy ; tapered implants ; Tooth Extraction ; Tooth Socket - drug effects ; Tooth Socket - surgery ; transmucosal healing ; Wound Healing - drug effects ; Wound Healing - physiology</subject><ispartof>Clinical oral implants research, 2009-05, Vol.20 (5), p.482-488</ispartof><rights>2009 The Authors. 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Iorio</creatorcontrib><creatorcontrib>Salvi, G. E.</creatorcontrib><creatorcontrib>Matarasso, S.</creatorcontrib><creatorcontrib>Cafiero, C.</creatorcontrib><creatorcontrib>Blasi, A.</creatorcontrib><creatorcontrib>Lang, N. P.</creatorcontrib><title>Soft tissues healing at immediate transmucosal implants placed into molar extraction sites with buccal self-contained dehiscences. A 12-month controlled clinical trial</title><title>Clinical oral implants research</title><addtitle>Clin Oral Implants Res</addtitle><description>Aim: To assess soft tissues healing at immediate transmucosal implants placed into molar extraction sites with buccal self‐contained dehiscences. Material and methods: For this 12‐month controlled clinical trial, 15 subjects received immediate transmucosal tapered‐effect (TE) implants placed in molar extraction sockets displaying a buccal bone dehiscence (test sites) with a height and a width of ≥3 mm, respectively. Peri‐implant marginal defects were treated according to the principles of Guided Bone Regeneration (GBR) by means of deproteinized bovine bone mineral particles in conjunction with a bioresorbable collagen membrane. Fifteen subjects received implants in healed molar sites (control sites) with intact buccal alveolar walls following tooth extraction. In total, 30 TE implants with an endosseous diameter of 4.8 mm and a shoulder diameter of 6.5 mm were used. Flaps were repositioned and sutured, allowing non‐submerged, transmucosal soft tissues healing. At the 12‐month follow‐up, pocket probing depths (PPD) and clinical attachment levels (CAL) were compared between implants placed in the test and the control sites, respectively. Results: All subjects completed the 12‐month follow‐up period. All implants healed uneventfully, yielding a survival rate of 100%. After 12 months, statistically significantly higher (P&lt;0.05) PPD and CAL values were recorded around implants placed in the test sites compared with those placed in the control sites. 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Iorio</creator><creator>Salvi, G. E.</creator><creator>Matarasso, S.</creator><creator>Cafiero, C.</creator><creator>Blasi, A.</creator><creator>Lang, N. P.</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><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>7QO</scope><scope>7QP</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>200905</creationdate><title>Soft tissues healing at immediate transmucosal implants placed into molar extraction sites with buccal self-contained dehiscences. A 12-month controlled clinical trial</title><author>Siciliano, V. Iorio ; Salvi, G. E. ; Matarasso, S. ; Cafiero, C. ; Blasi, A. ; Lang, N. 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Iorio</creatorcontrib><creatorcontrib>Salvi, G. E.</creatorcontrib><creatorcontrib>Matarasso, S.</creatorcontrib><creatorcontrib>Cafiero, C.</creatorcontrib><creatorcontrib>Blasi, A.</creatorcontrib><creatorcontrib>Lang, N. 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P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Soft tissues healing at immediate transmucosal implants placed into molar extraction sites with buccal self-contained dehiscences. A 12-month controlled clinical trial</atitle><jtitle>Clinical oral implants research</jtitle><addtitle>Clin Oral Implants Res</addtitle><date>2009-05</date><risdate>2009</risdate><volume>20</volume><issue>5</issue><spage>482</spage><epage>488</epage><pages>482-488</pages><issn>0905-7161</issn><eissn>1600-0501</eissn><abstract>Aim: To assess soft tissues healing at immediate transmucosal implants placed into molar extraction sites with buccal self‐contained dehiscences. Material and methods: For this 12‐month controlled clinical trial, 15 subjects received immediate transmucosal tapered‐effect (TE) implants placed in molar extraction sockets displaying a buccal bone dehiscence (test sites) with a height and a width of ≥3 mm, respectively. Peri‐implant marginal defects were treated according to the principles of Guided Bone Regeneration (GBR) by means of deproteinized bovine bone mineral particles in conjunction with a bioresorbable collagen membrane. Fifteen subjects received implants in healed molar sites (control sites) with intact buccal alveolar walls following tooth extraction. In total, 30 TE implants with an endosseous diameter of 4.8 mm and a shoulder diameter of 6.5 mm were used. Flaps were repositioned and sutured, allowing non‐submerged, transmucosal soft tissues healing. At the 12‐month follow‐up, pocket probing depths (PPD) and clinical attachment levels (CAL) were compared between implants placed in the test and the control sites, respectively. Results: All subjects completed the 12‐month follow‐up period. All implants healed uneventfully, yielding a survival rate of 100%. After 12 months, statistically significantly higher (P&lt;0.05) PPD and CAL values were recorded around implants placed in the test sites compared with those placed in the control sites. Conclusions: The findings of this controlled clinical trial showed that healing following immediate transmucosal implant installation in molar extraction sites with wide and shallow buccal dehiscences yielded less favorable outcomes compared with those of implants placed in healed sites, and resulted in lack of ‘complete’ osseointegration.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>19281503</pmid><doi>10.1111/j.1600-0501.2008.01688.x</doi><tpages>7</tpages></addata></record>
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subjects Adult
Animals
Bone Matrix - transplantation
buccal dehiscence
Cattle
Chi-Square Distribution
Crowns
Dental Implantation, Endosseous - methods
Dental Implants, Single-Tooth
Dental Prosthesis, Implant-Supported
Dental Restoration Failure
Dentistry
extraction socket
Female
Follow-Up Studies
Guided Bone Regeneration (GBR)
Guided Tissue Regeneration, Periodontal - methods
Humans
immediate implants
Male
Middle Aged
Minerals - therapeutic use
Molar
Mouth Mucosa - physiology
Osseointegration - drug effects
Osseointegration - physiology
Periodontal Index
Prospective Studies
Surgical Wound Dehiscence - complications
Surgical Wound Dehiscence - therapy
tapered implants
Tooth Extraction
Tooth Socket - drug effects
Tooth Socket - surgery
transmucosal healing
Wound Healing - drug effects
Wound Healing - physiology
title Soft tissues healing at immediate transmucosal implants placed into molar extraction sites with buccal self-contained dehiscences. A 12-month controlled clinical trial
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