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Osseous Healing Around Immediate Implants Placed Using Contour Augmentation: A Prospective Case Series
The International Journal of Periodontics & Restorative Dentistry
|October 13, 2017
Summary
Buccal contour augmentation with immediate implant placement significantly increased buccal bone thickness. This technique enhances bone dimensions around implants for better stability and aesthetics.
Area of Science:
- Dental Implantology
- Periodontology
- Oral Surgery
Background:
- Immediate implant placement offers functional and aesthetic advantages.
- Maintaining adequate buccal bone thickness is crucial for long-term implant success.
- Buccal contour augmentation is a technique to enhance soft and hard tissue volume.
Purpose of the Study:
- To prospectively evaluate dimensional bone changes around implants placed immediately with buccal contour augmentation.
- To compare bone thickness with historical data of implants placed without augmentation.
Main Methods:
- Extraction of hopeless maxillary anterior teeth followed by immediate implant placement.
- Simultaneous buccal contour augmentation performed.
- Hard tissue measurements recorded at implant placement and 3 months post-healing.
Main Results:
- All 18 implants achieved successful osseointegration.
- Mean buccal bone thickness at the implant platform was 2.94 ± 0.21 mm.
- This thickness was significantly greater than the 2.32 ± 0.17 mm reported for immediate implants without augmentation.
Conclusions:
- Buccal contour augmentation combined with immediate implant placement significantly increases peri-implant buccal bone thickness.
- This approach may improve hard tissue dimensions around immediate implants.
- Further research can explore long-term outcomes and aesthetic results.