10.25241/stomaeduj.2019.6(1).art.5-abstract

ORAL IMPLANTOLOGY

Immediate implant placement in fresh extraction sockets using the open healing technique and tissue level implants

DOI: https://doi.org/10.25241/stomaeduj.2019.6(1).art.5

Abstract

Introduction Correctly managed, immediate implant placement into fresh extraction socket is a favorable treatment option in order to reduce the overall treatment time and to increase the patient’s comfort and satisfaction.
Methodology Atraumatic extractions (N = 42) with socket preservation were performed in n = 40 patients (0.74 sex ratio) followed by immediate placement of tissue level implants. Post extraction sockets were filled with either platelet-rich growth factors (PRGF) clots, or deproteinized bovine bone granules, or both; then covered by collagen resorbable membrane or cyanoacrylate and left exposed during healing. The pre-loading need for additional augmentation was assessed clinically and radiologically, using CBCT scans at t = 6 months. The success and survival rate were evaluated by control CBCT scans at a 4 year follow-up.
Results This analysis showed that “open healing” technique allowed uneventful healing and sufficient bone formation in combination with immediate placement of soft tissue level implants, a survival rate of 100% and a success rate of 95.2% at a 4 yr follow-up. There were no significant differences regarding crestal bone level stability around the implants with the different augmentation materials.
Conclusion Immediate placement of tissue level implants in fresh post extraction sockets using “open healing” approach can be favorable from both a clinical and radiological point of view considering the results at 4 years. In addition, soft-tissue problems associated with extensive flap mobilization and tension may be avoided and the 3D architecture of hard and soft tissues surrounding the implant may be maintained due to the tissue level implants design in accordance with the biological width when restored.
Keywords Immediate implant placement; open healing; flapless; biological width.

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STOMATOLOGY EDU JOURNAL (Stoma Edu J) is a new international dental journal whose main purpose is to inform researchers, educators, graduates, postgraduates and practitioners about the latest trends in the field, which followed, would bring immediate and lasting benefits to the patients; and about opinions of the most authorized specialists on what is best in current practice, for the good of both, patient and dentist.
STOMATOLOGY EDU JOURNAL (Stoma Edu J) is a peer-reviewed, open access international dental journal to be database indexed, meant to contribute to the development and completion of the medical training of practitioners as Dr. Greene Vardiman Black stated: “the professional man has no right to be other than a continual student”.
Open access journal, means that all content is freely available without charge to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission from the publisher or the author.