Dental and Medical Problems

Dent Med Probl
Index Copernicus (ICV 2020) – 128.41
MEiN – 70 pts
CiteScore (2021) – 2.0
JCI – 0.22
Average rejection rate (2021) – 81.35%
ISSN 1644-387X (print)
ISSN 2300-9020 (online)
Periodicity – quarterly

Download PDF

Dental and Medical Problems

2016, vol. 53, nr 3, July-September, p. 408–412

doi: 10.17219/dmp/63185

Publication type: review article

Language: English

Download citation:

  • BIBTEX (JabRef, Mendeley)
  • RIS (Papers, Reference Manager, RefWorks, Zotero)

Creative Commons BY-NC-ND 3.0 Open Access

Factors Influencing Immediate Maxillary Dental Implant Placement and Bone Resorption: A Review of the Literature and an Outlook on the Clinical Possibilities

Czynniki wpływające na natychmiastową implantację w szczęce i resorpcję kości – przegląd piśmiennictwa i opcji klinicznych

Edoardo Bianco1,

1 Università degli Studi di Milano Bicocca, Italy

Abstract

The insertion of dental implants immediately after teeth extractions has become a routine clinical procedure in implant dentistry, despite difficulties derived from several factors influencing bone resorption. The aim of this study is to evaluate the survival rate of implant positioned immediately after tooth extraction in the upper maxilla and to analyze the surgical techniques and the parameters to minimize physiological bone resorption. An electronic search in MEDLINE (PubMed) and the Cochrane library was performed to analyze the factors that may influence physiological bone resorption during immediate implant placement: surgical technique, position of the implant and bone grafting. Immediate implant placement is a predictable technique with a high success rate. It does not prevent bone resorption subsequent to tooth extraction, but there are some parameters to take into account to minimize the bone resorption itself. Despite the high survival rate, more long-term studies are necessary to evaluate the success of implants placed immediately into fresh extraction sockets in the upper maxillary. Special attention has to be given to aesthetic outcomes.

Key words

dental implant, osteointegration, bone healing, alveolar bone loss, extraction sockets

Słowa kluczowe

wszczep stomatologiczny, osteointegracja, gojenie się kości, zanik kości wyrostka, zębodół poekstrakcyjny

References (33)

  1. Brånemark P.I., Adell R., Breine U., Hansson B.O., Lindström J., Ohlsson A.: Intra-osseous anchorage of dental prostheses. I. Experimental studies. Scand. J. Plast. Recons. 1969, 3, 81–100.
  2. Lang N.P., Berglundh T., Heitz-Mayfield L.J., Pjetursson B.E., Salvi G.E., Sanz M.: Consensus statements and recommended clinical procedures regarding implant survival and complications. Int. J. Oral Max. Impl. 2004, 19, Suppl, 150–154.
  3. Gallucci G.O., Grütter L., Chuang S.K., Belser U.C.: Dimensional changes of peri-implant soft tissue over 2 years with single-implant crowns in the anterior maxilla. J. Clin. Periodontol. 2011, 38, 293–299.
  4. Henry P.J., Laney W.R., Jemt T., Harris D., Krogh P.H., Polizzi G., Zarb G.A., Herrmann I.: Osseointegrated implants for single-tooth replacement: a prospective 5-year multicenter study. Int. J. Oral Max. Impl. 1996, 11, 450–455.
  5. Hämmerle C.H., Chen S.T., Wilson T.G. Jr.: Consensus statements and recommended clinical procedures regarding the placement of implants in extraction sockets. Int. J. Oral Max. Implants, 2004, 19, Suppl, 26–28.
  6. Lang N.P., Lui P., Lau K.Y., Li K.Y., Wong M.C.M.: A systematic review on survival and success rates of implants placed immediately into fresh extraction sockets after at least 1 year. Clin. Oral Implants Res. 2012, 23, Suppl 5, 39–66.
  7. Rosenquist B., Grenthe B.: Immediate placement of implants into extraction sockets: Implant survival. Int. J. Oral Max. Impl. 1996, 11, 205–209.
  8. Lazzara R.J.: Immediate implant placement into extraction sites: Surgical and restorative advantages. Int. J. Periodont. Rest. 1989, 9, 332–343.
  9. Denissen H.W., Kalk W.: Preventive implantations. Int. Dent. J. 1991, 41, 17–24.
  10. Denissen H.W., Kalk W., Veldhuis H.A., van Waas M.A.: Anatomic consideration for preventive implantation. Int. J. Oral Max. Impl. 1993, 8, 191–196.
  11. Sclar A.G.: Preserving alveolar ridge anatomy following tooth removal in conjunction with immediate implant placement. The biocol technique. Atlas Oral Maxillofac. Surg. Clin. North Am. 1999, 7, 39–59.
  12. Covani U., Barone A., Cornelini R., Crespi R.: Soft tissue healing around implants placed immediately after tooth extraction without incision: A clinical report. Int. J. Oral Max. Impl. 2004, 19, 549–553.
  13. Lindquist L.W., Rockler B., Carlsson G.E.: Bone resorption around fixtures in edentulous patients treated with mandibular fixed tissue-integrated prostheses. J. Prosthet. Dent. 1988, 59, 59–63.
  14. Von Wowern N., Harder F., Hjørting-Hansen E., Gotfredsen K.: ITI implants with overdentures: A prevention of bone loss in edentulous mandibles? Int. J. Oral Max. Impl. 1990, 5, 135–139.
  15. Araujo M.G., Lindhe J.: Dimensional ridge alterations following tooth extraction. An experimental study in the dog. J. Clin. Periodontol. 2005, 32, 212–218.
  16. Araujo M.G., Sukekava F., Wennstrom J.L., Lindhe J.: Tissue modelling following implant placement in fresh extraction sockets. Clin. Oral Implant. Res. 2006, 17, 615–624.
  17. Araujo M.G., Wennstrom J.L., Lindhe J.: Modelling of the buccal and lingual bone walls of fresh extraction sites following implant installation. Clin. Oral Implants Res. 2006, 17, 606–614.
  18. Botticelli D., Persson L.G., 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, 351–358.
  19. Anson D.: Maxillary anterior esthetic extractions with delayed single-stage implant placement. Compend. Contin. Educ. Dent. 2002, 23, 829–380, 833–836.
  20. Garber D.A., Belser U.C.: Restoration-driven implant placement with restoration-generated site development. Compend. Contin. Educ. Dent. 1995, 16, 796, 798–802, 804.
  21. Garber D.A.: The esthetic dental implant: Letting restoration be the guide. J. Am. Dent. Assoc. 1995,126, 319–325.
  22. Capelli M., Deflorian M.A., Scaini R., Galli F., Parenti A., Fumagalli L., Zuffetti F., Testori T.: Analisi critica dei fattori di rischio estetici in implantologia post-estrattiva. Implants, 2012, 1, 6–14 [in Italian].
  23. Evans C.D., Chen S.T.: Esthetic outcomes of immediate implant placements. Clin. Oral Implants Res. 2008, 19, 73–80.
  24. Tomasi C., Sanz M., Cecchinato D., Pjetursson B., Ferrus J., Lang N.P., Lindhe J.: Bone dimensional variations at implants placed in fresh extraction sockets: A multilevel multivariate analysis. Clin. Oral Implants Res. 2010, 21, 30–36.
  25. Buser D., Martin W., Belser U.C.: Optimizing esthetics for implant restorations in the anterior maxilla: Anatomical and surgical considerations. Int. J. Oral Max. Impl. 2004, 19, Suppl. 43–61.
  26. Tarnow D.P., Cho S.C., Wallace S.S.: The effect of inter-implant distance on the height of interimplant bone crest. J. Periodontol. 2000, 71, 546–549.
  27. Esposito M., Ekestubbe A., Grondahl K.: Radiological evaluation of marginal bone loss at tooth surfaces facing single Branemark implants. Clin. Oral Implants Res. 1993, 4, 151–157.
  28. Grunder U.: Stability of the mucosal topography around single-tooth implants and adjacent teeth: 1-year results. Int. J. Periodontics Restorative Dent. 2000, 20, 11–17.
  29. Iasella J.M., Greenwell H., Miller R.L., Hill M., Drisko C., Bohra A.A., Scheetz J.P.: Ridge preservation with freeze-dried bone allograft and a collagen membrane compared to extraction alone for implant site development: A clinical and histologic study in humans. J. Periodontol. 2003, 74, 990–999.
  30. Ferrus J., Cecchinato D., Pjetursson B., Lang N., Sanz M., Lindhe J.: Factors influencing ridge alterations following implant placement in the fresh extraction socket. Clin. Oral Implants Res. 2010, 21, 22–29.
  31. Huynh-Ba G., Pjetursson B.E., Sanz M., Cecchinato D., Ferrus J., Lindhe J., Lang N.P.: Analysis of the socket bone wall dimensions in the upper maxilla in relation to immediate implant placement. Clin. Oral Implants Res. 2010, 21, 37–42.
  32. Spray J.R., Black C.G., Morris H.F.: The influence of bone thickness on facial marginal bone response: Stage 1 placement through stage 2 uncovering. Ann. Periodontol. 2000, 5, 119–128.
  33. Buser D., Chappuis V., Bornstein M.A., Wittneben J.G., Frei M., Belser U.C.: Long-term stability of contour augmentation with early implant placement following single tooth extraction in the esthetic zone: A prospective, cross-sectional study in 41 patients with a 5- to 9-year follow-up. J. Periodontol. 2013, 84, 1517–1527.