Longitudinal Soft Tissue Changes During Periodontal Ligament–Mediated Immediate Implant Placement with the Root-Membrane Technique
| Autor: | Michael A. Pikos, Miltiadis M Mitsias, Georgios A. Kotsakis, Konstantinos D. Siormpas, Manuel Bratos |
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| Rok vydání: | 2020 |
| Předmět: |
Immediate Dental Implant Loading
Periodontal Ligament Observation period Dentistry 02 engineering and technology Esthetics Dental Osseointegration Dental Implants Single-Tooth 0202 electrical engineering electronic engineering information engineering Humans Medicine Periodontal fiber Prospective Studies Dental Implants business.industry Soft tissue General Medicine Buccal administration 021001 nanoscience & nanotechnology Immediate implant Major duodenal papilla Treatment Outcome 020201 artificial intelligence & image processing Implant Oral Surgery 0210 nano-technology business |
| Zdroj: | The International Journal of Oral & Maxillofacial Implants. 35:379-385 |
| ISSN: | 0882-2786 |
| Popis: | PURPOSE To assess longitudinal volumetric changes during immediate implant placement with simultaneous intentional retention of the buccal aspect of the root. MATERIALS AND METHODS This study assessed 10 cases drawn from a previously reported cohort that had study casts available pretreatment and at least 2 years after periodontal ligament (PDL)-mediated immediate implant placement. Gypsum casts were scanned using a laser scanner and converted into digital three-dimensional rendered files. The digital casts were superimposed, and semi-automated subtractive assessment was performed via specialized software. RESULTS Data from 10 patients with a minimum of 3 years follow-up (median follow-up time: 42 months) were analyzed. Each person contributed one implant site in this study. All implants successfully maintained osseointegration during the follow-up period and demonstrated optimal soft tissue stability. Changes during the observation period ranged from 0.19 mm (95% confidence interval [95% CI]: 0.10 to 0.28) in the midfacial region 6 mm apical to the mucosal zenith to -0.06 mm (95% CI: -0.14 to 0.02) at 5 mm apical to the base of the distal papilla. All changes were noninferior to pre-extraction baseline measurements based on a 0.5-mm noninferiority margin. CONCLUSION The intentional retention of the buccal aspect of the root with its periodontal apparatus during immediate implant placement led to optimal soft tissue dimensional stability in the esthetic zone. This technique holds promise for clinical application, and further controlled clinical studies are warranted to determine the comparative clinical benefit from the use of this procedure. |
| Databáze: | OpenAIRE |
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