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Allograft and Collagen Membrane Augmentation Procedures Preserve the Bone Level around Implants after Immediate Placement and Restoration

Roni Kolerman, Nayrouz Qahaz, Eitan Barnea, Eitan Mijiritsky, Liat Chaushu, Haim Tal and Joseph Nissan
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Roni Kolerman: Department of Periodontology and Dental Implantology, the Maurice and Gabriela Goldschleger School of Dental Medicine, Tel-Aviv University, Tel Aviv 39040, Israel
Nayrouz Qahaz: Dentist, Kolerman Periodontal and Implant Clinic, Tel-Aviv 64389, Israel
Eitan Barnea: Prosthodontist, Implant and Prosthodontic Clinic, Tel-Aviv 64163, Israel
Eitan Mijiritsky: Department of Otolaryngology Head and Neck Surgery and Maxillofacial Surgery, Tel-Aviv Sourasky Medical Center, Sackler School of Medicine, Tel Aviv University, Tel Aviv 39040, Israel
Liat Chaushu: Department of Periodontology and Dental Implantology, the Maurice and Gabriela Goldschleger School of Dental Medicine, Tel-Aviv University, Tel Aviv 39040, Israel
Haim Tal: Department of Periodontology and Dental Implantology, the Maurice and Gabriela Goldschleger School of Dental Medicine, Tel-Aviv University, Tel Aviv 39040, Israel
Joseph Nissan: Department of Oral Rehabilitation, the Maurice and Gabriela Goldschleger School of Dental Medicine, Tel-Aviv University, Tel Aviv 39040, Israel

IJERPH, 2020, vol. 17, issue 4, 1-15

Abstract: Background : Immediate implant placement and restoration (IPR), is a reliable treatment modality. Purpose : This historical prospective study evaluated the medium-term outcomes of hard tissue after IPR in the anterior maxilla with simultaneous hard tissue augmentation. Methods : Seventy-three patients treated with single-implant IPR in the anterior maxilla were followed for 1-8 years. Treatment involved, atraumatic extraction, immediate implant placement and abutment adaptation, followed by simultaneous augmentation with mineralized freeze-dried bone allograft (FDBA) particles to fill the gaps and restore the ridge. The surgical site was stabilized with a resorbable collagen membrane, followed by the connection of an acrylic provisional restoration. Results : All implants osseointegrated during the follow-up period (mean, 34 ± 22 months). Radiographic evaluation of the distance between the implant shoulder (IS) and crestal bone level (CBL) was of 0.86 ± 0.86 mm and 0.8 ± 0.84 mm mesially and distally, respectively. Splitting the results into up to 3 years and 3–8 years of follow-up data, the corresponding values were 0.90 ± 0.83 and 0.68 ± 0.88 for the mesial aspect and 0.99 ± 0.87and 0.74 ± 0.83 for the distal aspect, respectively. Mean peri-implant probing depth was 3.63 mm (SD ± 1.06) and 16 implants (22%) presented at least one bleeding pocket of ?5 mm (peri implant mucositis). Conclusions: The immediate replacement of a single maxillary tooth by implants combined with guided bone regeneration is a predictable treatment modality with favorable peri-implant bony response.

Keywords: immediate placement and restoration; radiographic bone loss; single-tooth implant (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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