Immediate single-tooth replacement with acellular dermal matrix allogeneic bone on sloped platform-switching...

Area of Science:

• Dental Implantology
• Periodontology
• Oral Surgery

Background:

• Predictable aesthetic outcomes in dental implantology rely on maintaining marginal bone and gingival stability.
• Current techniques often face challenges in achieving consistent aesthetic results in the aesthetic zone.

Purpose of the Study:

• To describe a minimally invasive surgical technique for immediate implant placement in the aesthetic zone.
• To evaluate the efficacy of a flapless approach combining immediate extraction, sloped implant placement, and bone grafting with acellular dermal matrix for soft tissue augmentation.

Main Methods:

• A flapless surgical technique involving immediate tooth extraction and placement of sloped implants.
• Utilizing deproteinised bovine bone mineral graft contained by an acellular dermal matrix for coronal augmentation.
• Case series presentation with up to 45 months of follow-up.

Main Results:

• The described technique facilitated stable soft tissue thickness augmentation.
• Clinical presentation demonstrated relative stability of soft tissue margins throughout the follow-up period.
• The minimally invasive approach contributed to predictable aesthetic results.

Conclusions:

• This flapless, minimally invasive technique offers a predictable method for achieving aesthetic success with immediate implants.
• The combination of sloped implants, bone grafting, and acellular dermal matrix supports stable soft tissue augmentation.
• The technique shows promise for enhancing aesthetic outcomes in the challenging aesthetic zone.