Immediate implants in maxillary anterior region with guided bone augmentation: Dual layer grafting approach

Dhruv Arora; Pareedhi Arora

doi:10.53730/ijhs.v6nS2.6909

Authors

Dhruv Arora
drdhruvarora@gmail.com
MDS, Reader, Dept of Prosthodontics, Seema Dental College and Hospital, HNBG University, Rishikesh, Uttarakhand
Pareedhi Arora MDS, Oral & Maxillofacial Surgery, Consultant Oral & Maxillofacial Surgeon New Delhi

Keywords:

immediate implants, guided bone regeneration, bio – gide, autograft, xenograft, maxillary anteriors, bone defects

Abstract

Aim: This case is a combination of vertical and horizontal defect in maxillary anterior region accompanied with absence of facial soft tissue which rehabilitated following extraction of tooth was rehabilitated by guided bone regeneration (GBR) and immediate implant Background: Loss of the labial bony wall during extraction of maxillary anterior teeth is a commonly encountered conundrum. During planning for an immediate implant placement in such a compromised area, guided bone regeneration (GBR) is a well-accepted method for bone and soft tissue reconstruction. Case Description: In the presented case report, a combination of vertical and horizontal defect of more than 2 mm accompanied with absence of facial soft tissue following extraction of tooth was rehabilitated by GBR and immediate implant. The follow - up was performed 36 months after final loading with good esthetic outcome and bone graft well apposed to native bone in CBCT evaluation with no obvious complications. Conclusion: The vertical and horizontal ridge volumetric alterations positively can be achieved by simultaneous GBR with immediate implant placement. Clinical Significance: The purpose of discussing this case report is to portray the efficacy of GBR along with immediate implant in case with both vertical and horizontal bone defects.

Downloads

Download data is not yet available.

References

Buser D, Wittneben J, Bornstein MM, Grütter L, Chappuis V, Belser UC. Stability of contour augmentation and esthetic outcomes of implant-supported single crowns in the esthetic zone: 3-year results of a prospective study with early implant placement post-extraction. Periodontol. 2011;82(3):342-9.

Wang H-L, Kiyonobu K & Neiva R F. Socket Augmentation: Rationale and Technique. Implant Dent. 2004 ;13:286-96.

Becker J, Al-Nawas B, Klein MO, Schliephake H, Terheyden H, Schwarz F. Use of a new cross-linked collagen membrane for the treatment of dehiscence-type defects at titanium implants: a prospective, randomized-controlled double-blinded clinical multicenter study. Clin Oral Implants Res. 2009 Jul;20(7):742-9.

DMD, Michael & DMD, David & Salama, Maurice. Immediate Restoration of Single Teeth. Journal of Oral and Maxillofacial Surgery - J ORAL MAXILLOFAC SURG. 2005;63:17-18.

Esposito M, Grusovin MG, Coulthard P, Worthington HV. The efficacy of various bone augmentation procedures for dental implants: a Cochrane systematic review of randomized controlled clinical trials. Int J Oral Maxillofac Implants. 2006 Sep-Oct;21(5):696-710

Chen ST, Buser D. Clinical and esthetic outcomes of implants placed in postextraction sites. Int J Oral Maxillofac Implants. 2009;24 Suppl:186-217.

Elian N, Cho SC, Froum S, Smith RB, Tarnow DP. A simplified socket classification and repair technique. Pract Proced Aesthet Dent. 2007 Mar;19(2):99-104

Liu R, Yang Z, Tan J, Chen L, Liu H, Yang J. Immediate implant placement for a single anterior maxillary tooth with a facial bone wall defect: A prospective clinical study with a one-year follow-up period. Clin Implant Dent Relat Res. 2019 Dec;21(6):1164-1174.

Evans CD, Chen ST. Clin Oral Implants Res. 2008 (1);19(1):73-80.

Misch C.M. Autogenous bone: Is it still the gold standard? Implant Dent. 2010;19:361.

van den Bergh J.P., ten Bruggenkate C.M., Krekeler G., Tuinzing D.B. Sinus floor elevation and grafting with autogenous iliac crest bone. Clin. Oral Implant. Res. 1998;9:429–435.

Cypher T.J., Grossman J.P. Biological principles of bone graft healing. J. Foot Ankle Surg. 1996;35:413–417.

Jensen SS, Terheyden H. Bone augmentation procedures in localized defects in the alveolar ridge: clinical results with different bone grafts and bone-substitute materials. Int J Oral Maxillofac Implants. 2009;24 Suppl:218-36.

Jensen S., Bosshardt D., Buser D. Bone grafts and bone substitute materials. Buser D Ed. 2009; 20: 1–96.

A.K. Schlegel, H. Möhler, F. Busch, A. Mehl, Preclinical and clinical studies of a collagen membrane (Bio-Gide®). Biomaterials,Volume 18, Issue 7, 1997, Pages 535-538

Wilson TG Jr, Buser D. Advances in the use of guided tissue regeneration for localized ridge augmentation in combination with dental implants. Tex Dent J. 1994 Jul;111(7):5, 7-10.