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Related Experiment Video

Updated: Jun 25, 2026

Real-Time Dynamic Navigation System for the Precise Quad-Zygomatic Implant Placement in a Patient with a Severely Atrophic Maxilla
05:54

Real-Time Dynamic Navigation System for the Precise Quad-Zygomatic Implant Placement in a Patient with a Severely Atrophic Maxilla

Published on: October 18, 2021

Immediate implant placement postextraction without flap elevation.

Stephen T Chen1, Ivan B Darby, Eric C Reynolds

  • 1Center for Oral Health Science, School of Dental Science, The University of Melbourne, Melbourne, Victoria, Australia.

Journal of Periodontology
|February 21, 2009
PubMed
Summary
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Immediate implant placement without flap elevation in the maxilla can lead to significant soft tissue recession. Implant position and tissue thickness are key factors influencing esthetic outcomes.

Area of Science:

  • Dental Implantology
  • Periodontology
  • Esthetic Dentistry

Background:

  • Immediate implant placement without flap elevation is a technique used for single-tooth replacements in the maxillary anterior region.
  • Assessing soft tissue and esthetic outcomes is crucial for patient satisfaction and long-term success.

Purpose of the Study:

  • To evaluate soft tissue and esthetic results of single-tooth immediate implants placed without flap elevation in maxillary incisor sites.
  • To identify factors influencing mucosal level changes and esthetic outcomes.

Main Methods:

  • Retrospective analysis of photographic records from 85 patients.
  • Immediate single-tooth implants placed in maxillary central and lateral incisor sites without surgical flap elevation.
  • Mucosal level changes measured as a percentage of the reference central incisor length.

Related Experiment Videos

Last Updated: Jun 25, 2026

Real-Time Dynamic Navigation System for the Precise Quad-Zygomatic Implant Placement in a Patient with a Severely Atrophic Maxilla
05:54

Real-Time Dynamic Navigation System for the Precise Quad-Zygomatic Implant Placement in a Patient with a Severely Atrophic Maxilla

Published on: October 18, 2021

Main Results:

  • Significant recession observed in mesial papilla (-6.2%), distal papilla (-7.4%), and facial mucosa (-4.6%) from placement to 1 year.
  • Greater recession occurred with facial implant placement compared to lingual.
  • Initial gingival margin position and tissue biotype (thin vs. thick) influenced recession and final mucosal levels.

Conclusions:

  • Immediate implant placement without flap elevation is linked to marginal mucosa recession, potentially noticeable esthetically.
  • The orofacial position of the implant shoulder and patient's tissue biotype are significant factors affecting outcomes.