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Does initial buccal crest thickness affect final buccal crest thickness after flapless immediate implant placement and provisionalization
- Source :
- Clinical Implant Dentistry and Related Research, 24, 24-33, Clinical Implant Dentistry and Related Research, 24, 1, pp. 24-33, Clinical Implant Dentistry and Related Research, 24-33. Wiley, ISSUE=1;STARTPAGE=24;ENDPAGE=33;ISSN=1523-0899;TITLE=Clinical Implant Dentistry and Related Research
- Publication Year :
- 2022
-
Abstract
- Contains fulltext : 288300.pdf (Publisher’s version ) (Open Access) BACKGROUND: Flapless immediate implant placement and provisionalization (FIIPP) in the aesthetic zone is still controversial. Especially, an initial buccal crest thickness (BCT) of ≤1 mm is thought to be disruptive for the final buccal crest stability jeopardizing the aesthetic outcome. PURPOSE: To radiographically assess the BCT and buccal crest height (BCH) after 1 year and to calculate the correlation between initial and final achieved BCT. MATERIALS AND METHODS: The study was designed as a prospective study on FIIPP. Only patients were included in whom one maxillary incisor was considered as lost. In six centers, 100 consecutive patients received FIIPP. Implants were placed in a maximal palatal position of the socket, thereby creating a buccal space of at least 2 mm, which was subsequently filled with a bovine bone substitute. Files of preoperative (T0), peroperative (T1) and 1-year postoperative (T3) cone beam computed tomogram (CBCT) scans were imported into the Maxillim™ software to analyze the changes in BCT-BCH over time. RESULTS: Preoperatively, 85% of the cases showed a BCT ≤1 mm, in 25% of the patients also a small buccal defect (≤5 mm) was present. Mean BCT at the level of the implant-shoulder increased from 0.6 mm at baseline to 3.3 mm immediate postoperatively and compacted to 2.4 mm after 1 year. Mean BCH improved from 0.7 to 3.1 mm peroperatively, and resorbed to 1.7 mm after 1 year. The Pearson correlation of 0.38 between initial and final BCT was significant (p = 0.01) and therefore is valued as moderate. If only patients (75%) with an intact alveolus were included in the analysis, still a "moderate correlation" of 0.32 (p = 0.01) was calculated. CONCLUSIONS: A "moderate correlation" was shown for the hypothesis that "thinner preoperative BCT's deliver thinner BCT's" 1 year after performing FIIPP.
- Subjects :
- Immediate Dental Implant Loading
CBCT analysis
SOFT-TISSUE ALTERATIONS
RIDGE PRESERVATION
Esthetics, Dental
FRESH EXTRACTION SOCKETS
Cohort Studies
Dental Implants, Single-Tooth
AESTHETIC ZONE
Maxilla
Animals
Humans
flapless immediate implant placement
BONE WALL
Prospective Studies
immediate restoration
General Dentistry
RESTORATION
Dental Implants
SINGLE-TOOTH IMPLANTS
POST-EXTRACTION
Cone-Beam Computed Tomography
Reconstructive and regenerative medicine Radboud Institute for Health Sciences [Radboudumc 10]
ANTERIOR MAXILLA
aesthetic outcome
Cattle
Oral Surgery
DIMENSIONAL CHANGES
Subjects
Details
- Language :
- English
- ISSN :
- 15230899
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Clinical Implant Dentistry and Related Research
- Accession number :
- edsair.doi.dedup.....ae505a7b7278067412ba747cc03bbc33