Journal of Periodontal and Implant Science

Korean Academy of Periodontology (대한치주과학회)
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Soft-tissue management for primary closure in immediate implant placement

즉시 식립 임플란트의 일차폐쇄를 위한 연조직 처치

  • Kim, Kang-Woo (Department of Periodontology, College of Dentistry, Kangnung National University) ;
  • Lee, Jae-Kwan (Department of Periodontology, College of Dentistry, Kangnung National University) ;
  • Um, Heung-Sik (Department of Periodontology, College of Dentistry, Kangnung National University) ;
  • Chang, Beom-Seok (Department of Periodontology, College of Dentistry, Kangnung National University)
  • 김강우 (강릉대학교 치과대학 치주과학교실) ;
  • 이재관 (강릉대학교 치과대학 치주과학교실) ;
  • 엄흥식 (강릉대학교 치과대학 치주과학교실) ;
  • 장범석 (강릉대학교 치과대학 치주과학교실)
  • Published : 2008.06.30
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Abstract

Background: Incomplete flap coverage or early exposure over implants and/or barrier membranes have a negative effect on bone regeneration. In cases of using regenerative techniques, complete soft tissue coverage of the implant area is necessary to promote adequate conditions for guided bone regeneration. Primary socket closure may be difficult, when periosteal releasing incision is only used, due to the opening left by extracted tooth. Therefore, Soft tissue grafting techniques are used to achieve primary soft tissue closure. Materials and Methods: Soft tissue grafting techniques, with or without barrier membranes, were performed for primary closure in four cases of immediate placements. Three different methods were used (CTG, VIP-CT, Palatal advanced flap). Clinical results of the grafting were evaluated. Result: One case showed early exposure of cover-screw and, no other complications were noted. In the others, Primary closure was achieved by soft tissue grafting techniques. One of the cases, Graft showed partial necrosis, but there were no exposure over implants and/or barrier membranes. Conclusion: The use of grafting techniques, in immediate implant placement, can predictably obtain primary closure of extraction sockets, thereby providing predictable bone formation and improved implant results.

Keywords

References

  1. Ikeue Dazuhoga, Hurui Danino. Present of Soft tissue management for immediate implant placement. Quintessence 2005;9(10):155-163
  2. Mizuue Dezunari, Iwada Junmei. Indication and techniques of soft tissue management for immediate implant placement. Quintessence 2005;10(10):144-155
  3. Ken Akimoto, Thomas Junge. The art and science of immediate implants. Quintessence 2006;11(5):15-31
  4. Michele Paolantonio, Marco Dolci, Antonio Scarano. Immediate Implantation in frech extraction sockets. A controlled clinical and histological study in man. J Periodotol 2001;72:1560-1571 https://doi.org/10.1902/jop.2001.72.11.1560
  5. Thomas G. Wilson Jr. Immediate implants covered with connective tissue membranes: human biposies. J Periodotol 2003;74:402-409 https://doi.org/10.1902/jop.2003.74.3.402
  6. J. Robert Spray, C. Gary Black, Harold F. et al. The influence of bone thickness on facial marginal bone response: stage 1 placement through stage 2 uncovering. Annual of Periodontology 2000;5:119-128 https://doi.org/10.1902/annals.2000.5.1.119
  7. Schropp L. Kostopoulos L. Wenzel A. Bone healing following immediate versus delayed placement of titanium implants into extraction socket: a prospective clinical study. International Journal of Oral Maxillofacial Implants. 2003 Mar-Apr ;18(2):189-99
  8. Nevin M. & Mellonig JT. The advantages of localized ridge augmentation prior to implant placement: A staged event. International Journal of Periodontics and Restorative Dentistry 1994;14:97-111
  9. Gher ME. Quintero, G., Assad, D., Monaco, E. &Richardson, A.E. Bone grafting and guided bone regeneration for immediate implants in humans. J Periodotol 1994;65:881-891 https://doi.org/10.1902/jop.1994.65.9.881
  10. Nemcovsky CE, Artzi Z, Moses O. Rotated palatal flap in immediate implant procedures. Clinical Oral Implant Research 2000;11:83-90
  11. Ueli Grunder. Soft tissue Augmentation techniques to enhance esthetics around implants. 2004;9(8):21-28
  12. Ik Herr. Periodontology-Based implantology. Myungmoon Publishing Co. 2006:256-264
  13. Kwang-Beom Park. Current soft tissue management in implant dentistry. Narae Publishing Co. 1999:44-161
  14. Bo Rosenquist. A comparision of various methods of soft tissue management following the immediate placement of implants into extraction socket. International Journal of Maxillofacial Implants 1997;12:43-51
  15. Cobi J. Landsberg. Socket seal surgery combined with immediate implant placement: A novel approach for single-tooth replacement. International Journal of Periodontics and Restorative Dentistry 1997;17:141-149
  16. Stephen T. Chen, Christer Dahlin. Connective tissue grafting for primary closure of extraction socket treated with an osteopromotive membrane technique: surgical technique and clinical results. International Journal of Periodontics and Restorative Dentistry 1996;16:349-355
  17. Carlos E. Nemcovsky, Zvi Artzi, and Ofer Moses. Rotated split palatal flap for soft tissue primary coverage over extraction sites with immediate implant placement. Description of the surgical procedure and clinical results. J Periodontol 1999;70:926-934 https://doi.org/10.1902/jop.1999.70.8.926
  18. Carlos E. Nemcovsky, Ofer Moses, Zvi Artzi, et al. Clinical coverage of dehiscence defects in immediate implant procedures: three surgical modalities to achieve pri mary soft tissue closure. Internation Journal of Maxillofacial Implants 2000;15:843-852
  19. Fouad Khoury. The palatal subepithelial connective tissue flap method for soft tissue management to cover maxillary defects: A clinical report. International Journal of Maxillofacial Implants 2000;15:415-418
  20. Moshe Goldstein, Zvi Schwartz. The palatal advanced flap: a pedicle flap for primary coverage of immediately placed implants. Clinical Oral Implants Research 2002;13:644-650 https://doi.org/10.1034/j.1600-0501.2002.130611.x
  21. Devorah Schqartz-Arad and Gabriel Chaushu. The way and wherefores of immediate placement of implants into frech extraction site: A literature review. J Periodontol 1997;68:915-923 https://doi.org/10.1902/jop.1997.68.10.915
  22. Andrea E. Bianchi, Francesco Sanfilippo. Single-tooth replacement by immediate implant and connective tissue graft: a I-9-year clinical evaluation. Clinical Oral Implants Research 2004;15:269-277 https://doi.org/10.1111/j.1600-0501.2004.01020.x
  23. Rosenquist B. Ahmed M. The immediate replacement of teeth by dental implants using homologous bone membranes to seal the sockets: clinical and radiographic findings. Clinical Oral Implants Research 2000;111:572-582
  24. Ralf J. Kohal, Pete Mellas. The effects of guided bone regeneration and grafting on implants placed into immediate extraction sockets. An experimental study in dogs. J Periodontol 1998;69:927-937 https://doi.org/10.1902/jop.1998.69.8.927