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Updated: Jun 1, 2026
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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
[Clinical dilemmas concerning immediate implants in the esthetic zone]
L Beitlitum1, Z Artzi, I Tsesis
1Dept. of Periodontology and Dental Implantology, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel-Aviv University, Tel-Aviv, Israel.
Refu'At Ha-Peh Veha-Shinayim (1993)
|June 15, 2011
Summary
Dental implant placement in the esthetic zone presents challenges. Strategies like flapless surgery and bone grafting can optimize outcomes for successful tooth replacement.
Area of Science:
- Dentistry
- Oral Surgery
- Periodontology
Background:
- Teeth replacement in the esthetic zone is a complex dental challenge.
- Dental implants are the primary treatment for missing teeth in this area.
- This review examines key clinical considerations for esthetic zone implant placement.
Observation:
- The benefit of raising a flap during implant placement for alveolar crest remodeling remains uncertain.
- Flapless surgical procedures may preserve free gingival margin and attached gingiva width.
- Submarginal approaches can address bone defects using guided bone regeneration (GBR).
Findings:
- Implants should be positioned palatally with attention to restoration emergence.
- Horizontal bone defects benefit from filling with non-resorbable materials like bovine bone mineral.
- Thicker periodontal biotype and coronally positioned gingival margins correlate with better results.
Implications:
- Careful surgical technique and material selection are crucial for esthetic outcomes.
- Immediate implant placement is feasible for sites with periapical lesions if thoroughly debrided.
- Optimizing implant positioning and bone volume management are key to successful esthetic restorations.
