Journal of the Korean Association of Oral and Maxillofacial Surgeons

  • 제49권1호
  • /
  • Pages.30-42
  • /
  • 2023
  • /
  • 2234-7550(pISSN)
  • /
  • 2234-5930(eISSN)
대한구강악안면외과학회 (The Korean Association of Oral and Maxillofacial Surgeons)
권호 표지
DOI QR코드

DOI QR Code

Guidance and rationale for the immediate implant placement in the maxillary molar

  • Kezia Rachellea Mustakim (Department of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National University) ;
  • Mi Young Eo (Department of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National University) ;
  • Ju Young Lee (Department of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National University) ;
  • Hoon Myoung (Department of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National University) ;
  • Mi Hyun Seo (Department of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National University) ;
  • Soung Min Kim (Department of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National University)
  • 투고 : 2022.12.19
  • 심사 : 2023.01.25
  • 발행 : 2023.02.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objectives: While the reliability of immediate implant placement in the maxillary molar has been discussed, its significance is questionable. There have been no guidelines for case selection and surgical technique for successful treatment outcomes of immediate maxillary molar implants. Therefore, in this study, we classified alveolar bone height and socket morphology of the maxillary molar to establish guidelines for immediate implant placement. Materials and Methods: From 2011 to 2019, we retrospectively analyzed 106 patients with 148 immediate implants at the Department of Oral and Maxillofacial Surgery, Seoul National University Dental Hospital. Inclusion and exclusion criteria were applied, and patient characteristics and treatment results were evaluated clinically and radiologically. Results: A total of 29 tapered, sand-blasted, large-grit, and acid-etched (SLA) surfaces of implants were placed in 26 patients. The mean patient age was 64.88 years. Two implants failed and were reinstalled, resulting in a 93.10% survival rate. Fluctuating marginal bone level changes indicating bone regeneration and bone loss were observed in the first year following installation and remained stable after one year of prosthesis loading, with an average bone loss of 0.01±0.01 mm on the distal side and 0.03±0.03 mm on the mesial side. Conclusion: This clinical study demonstrated the significance of immediate implant placement in maxillary molars as a reliable treatment with a high survival rate using tapered SLA implants. With an accurate approach to immediate implantation, surgical intervention and treatment time can be reduced, resulting in patient satisfaction and comfort.

키워드

과제정보

This research was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education (2021R1I1A1A01058939).

참고문헌

  1. Demircan S, Cankaya AB. Is immediate implant placement possible in the maxillary molar area? An anatomical study. Quintessence Int 2016;47:853-9. https://doi.org/10.3290/j.qi.a36886 
  2. Ketabi M, Deporter D, Atenafu EG. A systematic review of outcomes following immediate molar implant placement based on recently published studies. Clin Implant Dent Relat Res 2016;18:1084-94. https://doi.org/10.1111/cid.12390 
  3. Atieh MA, Payne AG, Duncan WJ, de Silva RK, Cullinan MP. Immediate placement or immediate restoration/loading of single implants for molar tooth replacement: a systematic review and metaanalysis. Int J Oral Maxillofac Implants 2010;25:401-15. 
  4. Smith RB, Tarnow DP. Classification of molar extraction sites for immediate dental implant placement: technical note. Int J Oral Maxillofac Implants 2013;28:911-6. https://doi.org/10.11607/jomi.2627 
  5. Ananda GK, Nambiar P, Mutalik S, Shanmuhasuntharam P. Anatomical considerations for implant placements in first maxillary molar extracted sites in East Asian patients. Surg Radiol Anat 2015;37:1099-108. https://doi.org/10.1007/s00276-015-1473-0 
  6. Fugazzotto PA. Implant placement at the time of maxillary molar extraction: treatment protocols and report of results. J Periodontol 2008;79:216-23. https://doi.org/10.1902/jop.2008.070338 
  7. Ragucci GM, Elnayef B, Criado-Camara E, Del Amo FS, Hernandez-Alfaro F. Immediate implant placement in molar extraction sockets: a systematic review and meta-analysis. Int J Implant Dent 2020;6:40. https://doi.org/10.1186/s40729-020-00235-5 
  8. Atieh MA, Alsabeeha NH, Duncan WJ, de Silva RK, Cullinan MP, Schwass D, et al. Immediate single implant restorations in mandibular molar extraction sockets: a controlled clinical trial. Clin Oral Implants Res 2013;24:484-96. https://doi.org/10.1111/j.1600-0501.2011.02415.x 
  9. Checchi V, Felice P, Zucchelli G, Barausse C, Piattelli M, Pistilli R, et al. Wide diameter immediate post-extractive implants vs delayed placement of normal-diameter implants in preserved sockets in the molar region: 1-year post-loading outcome of a randomised controlled trial. Eur J Oral Implantol 2017;10:263-78. 
  10. Meijer HJA, Raghoebar GM. Immediate implant placement in molar extraction sites: a 1-year prospective case series pilot study. Int J Implant Dent 2020;6:3. https://doi.org/10.1186/s40729-019-0201-7 
  11. Nguyen TTH, Eo MY, Kuk TS, Myoung H, Kim SM. Rehabilitation of atrophic jaw using iliac onlay bone graft combined with dental implants. Int J Implant Dent 2019;5:11. https://doi.org/10.1186/s40729-019-0163-9 
  12. von Elm E, Altman DG, Egger M, Pocock SJ, Gotzsche PC, Vandenbroucke JP; STROBE Initiative. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Ann Intern Med 2007;147:573-7. https://doi.org/10.7326/0003-4819-147-8-200710160-00010 
  13. Misch CE, Perel ML, Wang HL, Sammartino G, Galindo-Moreno P, Trisi P, et al. Implant success, survival, and failure: the International Congress of Oral Implantologists (ICOI) Pisa consensus conference. Implant Dent 2008;17:5-15. https://doi.org/10.1097/id.0b013e3181676059 
  14. Yuan X, Pei X, Zhao Y, Li Z, Chen CH, Tulu US, et al. Biomechanics of immediate postextraction implant osseointegration. J Dent Res 2018;97:987-94. https://doi.org/10.1177/0022034518765757 
  15. Makishi S, Saito K, Ohshima H. Osteopontin-deficiency disturbs direct osteogenesis in the process of achieving osseointegration following immediate placement of endosseous implants. Clin Implant Dent Relat Res 2017;19:496-504. https://doi.org/10.1111/cid.12467 
  16. Botticelli D, Persson LG, Lindhe J, Berglundh T. Bone tissue formation adjacent to implants placed in fresh extraction sockets: an experimental study in dogs. Clin Oral Implants Res 2006;17:351-8. https://doi.org/10.1111/j.1600-0501.2006.01270.x 
  17. Botticelli D, Renzi A, Lindhe J, Berglundh T. Implants in fresh extraction sockets: a prospective 5-year follow-up clinical study. Clin Oral Implants Res 2008;19:1226-32. https://doi.org/10.1111/j.1600-0501.2008.01620.x 
  18. Matarasso S, Salvi GE, Iorio Siciliano V, Cafiero C, Blasi A, Lang NP. Dimensional ridge alterations following immediate implant placement in molar extraction sites: a six-month prospective cohort study with surgical re-entry. Clin Oral Implants Res 2009;20:1092-8. https://doi.org/10.1111/j.1600-0501.2009.01803.x 
  19. Adell R, Lekholm U, Branemark PI, Lindhe J, Rockler B, Eriksson B, et al. Marginal tissue reactions at osseointegrated titanium fixtures. Swed Dent J Suppl 1985;28:175-81. 
  20. Javaid MA, Khurshid Z, Zafar MS, Najeeb S. Immediate implants: clinical guidelines for esthetic outcomes. Dent J (Basel) 2016;4:21. https://doi.org/10.3390/dj4020021 
  21. Amato F, Polara G. Immediate implant placement in single-tooth molar extraction sockets: a 1- to 6-year retrospective clinical study. Int J Periodontics Restorative Dent 2018;38:495-501. https://doi.org/10.11607/prd.3179 
  22. Zita Gomes R, de Vasconcelos MR, Lopes Guerra IM, de Almeida RAB, de Campos Felino AC. Implant stability in the posterior maxilla: a controlled clinical trial. Biomed Res Int 2017;2017:6825213. https://doi.org/10.1155/2017/6825213 
  23. Acocella A, Bertolai R, Sacco R. Modified insertion technique for immediate implant placement into fresh extraction socket in the first maxillary molar sites: a 3-year prospective study. Implant Dent 2010;19:220-8. https://doi.org/10.1097/id.0b013e3181dbe2fe 
  24. Nguyen TTH, Eo MY, Seo MH, Kim SM. Analysis of acute sinusitis-related early failed implant surface: a combined histological, electron microscopy, and X-ray spectroscopy approach. Maxillofac Plast Reconstr Surg 2022;44:18. https://doi.org/10.1186/s40902-022-00346-6 
  25. Andre A, Ogle OE. Vertical and horizontal augmentation of deficient maxilla and mandible for implant placement. Dent Clin North Am 2021;65:103-23. https://doi.org/10.1016/j.cden.2020.09.009 
  26. Jun SH, Park CJ, Hwang SH, Lee YK, Zhou C, Jang HS, et al. The influence of bone graft procedures on primary stability and bone change of implants placed in fresh extraction sockets. Maxillofac Plast Reconstr Surg 2018;40:8. https://doi.org/10.1186/s40902-018-0148-2 
  27. Troeltzsch M, Troeltzsch M, Kauffmann P, Gruber R, Brockmeyer P, Moser N, et al. Clinical efficacy of grafting materials in alveolar ridge augmentation: a systematic review. J Craniomaxillofac Surg 2016;44:1618-29. https://doi.org/10.1016/j.jcms.2016.07.028 
  28. Kolerman R, Qahaz N, Barnea E, Mijiritsky E, Chaushu L, Tal H, et al. Allograft and collagen membrane augmentation procedures preserve the bone level around implants after immediate placement and restoration. Int J Environ Res Public Health 2020;17:1133. https://doi.org/10.3390/ijerph17041133 
  29. Farina R, Trombelli L. Wound healing of extraction sockets. Endod Topics 2011;25:16-43. https://doi.org/10.1111/etp.12016 
  30. Cochran DL, Schenk RK, Lussi A, Higginbottom FL, Buser D. Bone response to unloaded and loaded titanium implants with a sandblasted and acid-etched surface: a histometric study in the canine mandible. J Biomed Mater Res 1998;40:1-11. https://doi.org/10.1002/(sici)1097-4636(199804)40:1%3C1::aidjbm1%3E3.0.co;2-q 
  31. Sayin Ozel G, Inan O, Secilmis Acar A, Alniacik Iyidogan G, Dolanmaz D, Yildirim G. Stability of dental implants with sandblasted and acid-etched (SLA) and modified (SLActive) surfaces during the osseointegration period. J Dent Res Dent Clin Dent Prospects 2021;15:226-31. https://doi.org/10.34172/joddd.2021.037 
  32. Kim YK, Kim JH, Yi YJ, Kwon MJ, Yun PY. Prospective comparative study of tapered implants with SLA surfaces in the maxillary posterior area according to 3- and 6-month loading time. Int J Periodontics Restorative Dent 2015;35:271-6. https://doi.org/10.11607/prd.1789 
  33. El Chaar E, Puisys A, Sabbag I, Bellon B, Georgantza A, Kye W, et al. A novel fully tapered, self-cutting tissue-level implant: non-inferiority study in minipigs. Clin Oral Investig 2021;25:6127-37. https://doi.org/10.1007/s00784-021-03912-w 
  34. Mustakim KR, Han JJ, Eo MY, Kim SM. Tapered, sand-blasted, large-grit, and acid-etched surfaced internal dental implant in the diverse pathologic jaw. J Craniofac Surg 2022;33:2161-8. https://doi.org/10.1097/scs.0000000000008743 
  35. Mustakim KR, Eo MY, Lee JY, Cho YJ, Seo MH, Kim SM. Appropriate implant rehabilitation in patients with iatrogenic oroantral fistula and odontogenic maxillary sinusitis. J Craniofac Surg 2023;34:e92-6. https://doi.org/10.1097/scs.0000000000009099 
  36. Taheri M, Akbari S, Shamshiri AR, Shayesteh YS. Marginal bone loss around bone-level and tissue-level implants: a systematic review and meta-analysis. Ann Anat 2020;231:151525. https://doi.org/10.1016/j.aanat.2020.151525 
  37. Vianna TT, Taiete T, Casarin RCV, Giorgi MCC, Aguiar FHB, Silverio KG, et al. Evaluation of peri-implant marginal tissues around tissue-level and bone-level implants in patients with a history of chronic periodontitis. J Clin Periodontol 2018;45:1255-65. https://doi.org/10.1111/jcpe.12999 
  38. Will MJ, Drago C. Survival rate of ultrawide diameter implants placed into molar postextraction sockets and in function for up to 144 months. J Prosthodont 2022. https://doi.org/10.1111/jopr.13534 [Epub ahead of print] 
  39. Hattingh A, De Bruyn H, Vandeweghe S. A retrospective study on ultra-wide diameter dental implants for immediate molar replacement. Clin Implant Dent Relat Res 2019;21:879-87. https://doi.org/10.1111/cid.12759 
  40. Hattingh A, Hommez G, De Bruyn H, Huyghe M, Vandeweghe S. A prospective study on ultra-wide diameter dental implants for immediate molar replacement. Clin Implant Dent Relat Res 2018;20:1009-15. https://doi.org/10.1111/cid.12666 
  41. Chen Y, Yuan S, Zhou N, Man Y. Transcrestal sinus floor augmentation with immediate implant placement applied in three types of fresh extraction sockets: a clinical prospective study with 1-year follow-up. Clin Implant Dent Relat Res 2017;19:1034-43. https://doi.org/10.1111/cid.12529 
  42. Jensen OT, Brownd C, Baer D. Maxillary molar sinus floor intrusion at the time of dental extraction. J Oral Maxillofac Surg 2006;64:1415-9. https://doi.org/10.1016/j.joms.2006.05.027 
  43. Ekhlasmandkermani M, Amid R, Kadkhodazadeh M, Hajizadeh F, Abed PF, Kheiri L, et al. Sinus floor elevation and simultaneous implant placement in fresh extraction sockets: a systematic review of clinical data. J Korean Assoc Oral Maxillofac Surg 2021;47:411-26. https://doi.org/10.5125/jkaoms.2021.47.6.411 
  44. Jensen OT, Shulman LB, Block MS, Iacono VJ. Report of the sinus consensus conference of 1996. Int J Oral Maxillofac Implants 1998;13 Suppl:11-45. 
  45. Khehra A, Levin L. Maxillary sinus augmentation procedures: a narrative clinical review. Quintessence Int 2020;51:578-84. https://doi.org/10.3290/j.qi.a44632 
  46. Nguyen TTH, Eo MY, Cho YJ, Myoung H, Kim SM. 7-mm-long dental implants: retrospective clinical outcomes in medically compromised patients. J Korean Assoc Oral Maxillofac Surg 2019;45:260-6. https://doi.org/10.5125/jkaoms.2019.45.5.260 
  47. Lemos CA, Ferro-Alves ML, Okamoto R, Mendonca MR, Pellizzer EP. Short dental implants versus standard dental implants placed in the posterior jaws: a systematic review and meta-analysis. J Dent 2016;47:8-17. https://doi.org/10.1016/j.jdent.2016.01.005 
  48. Duan XB, Wu TX, Guo YC, Zhou XD, Lei YL, Xu X, et al. Marginal bone loss around non-submerged implants is associated with salivary microbiome during bone healing. Int J Oral Sci 2017;9:95-103. https://doi.org/10.1038/ijos.2017.18