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Delayed Implants Outcome in Maxillary Molar Region.

Roberto Crespi1, Paolo Capparè2, Giovanni Crespi3

  • 1Adjunct Professor, Department of Dentistry, Vita Salute University, IRCCS San Raffaele Hospital, Milan, Italy.

Clinical Implant Dentistry and Related Research
|October 1, 2016
PubMed
Summary
This summary is machine-generated.

Delayed implants placed in large bone defects showed significant bone volume changes. Bone volume increased by 3 years, indicating successful outcomes without grafting.

Keywords:
bone defectsdental implantsmagnetic malletreactive soft tissue

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Area of Science:

  • Dental Implantology
  • Bone Regeneration
  • Maxillofacial Surgery

Background:

  • Large bone defects in the maxillary molar region often follow tooth extractions.
  • Reactive soft tissue within defects can complicate implant placement.
  • Graftless approaches are being explored for bone augmentation.

Purpose of the Study:

  • To evaluate bone volume changes in maxillary molar regions after delayed implant placement.
  • To assess the long-term stability of bone volume in augmented sites.
  • To determine the efficacy of delayed implant placement in large bone defects without grafting.

Main Methods:

  • Cone beam computed tomography (CBCT) scans were used for bone volume assessment.
  • Scans were taken before extraction, at implant placement (3 months post-extraction), and 3 years later.
  • Bone volume measurements focused on bucco-lingual width and vertical dimension.

Main Results:

  • Bucco-lingual width significantly decreased at implant placement but increased by 3 years.
  • No significant difference in bucco-lingual width was observed between baseline and 3-year follow-up.
  • Vertical bone dimension showed significant changes from baseline to 3 months and between implant placement and 3 years.

Conclusions:

  • Delayed implant placement in large bone defects can achieve successful outcomes.
  • Significant bone volume changes occur, with stabilization by 3 years post-placement.
  • CT scans confirm the viability of this graftless approach for maxillary molar implants.