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Transitioning From Teeth to Implants: A Narrative Review
1Clinical Professor, Department of Oral and Maxillofacial Surgery, LSU School of Dentistry, New Orleans, LA; Private Practice, Metairie, LA.
Summary
Maintaining patient function during dental implant rehabilitation is crucial. Utilizing remaining teeth for a fixed provisional prosthesis supports implant integration and graft healing, offering a viable transition strategy.
Area of Science:
- Dental Implantology
- Prosthodontics
- Oral Surgery
Background:
- Dental rehabilitation often requires tooth extraction and implant placement.
- Managing remaining teeth impacts implant timing and provisionalization methods.
- Maintaining patient function during this process is a key clinical challenge.
Purpose of the Study:
- To review strategies for sequential tooth removal, grafting, and implant placement.
- To evaluate methods for using existing teeth to support provisional prostheses.
- To provide surgeons with a reference for maintaining patient function during rehabilitation.
Main Methods:
- Literature search of PubMed (1990-2022) for peer-reviewed articles.
- Inclusion of studies on immediate implant placement in extraction sites and transitioning techniques.
- Data collection from systematic reviews, clinical series, and case reports.
Main Results:
- Immediate implant placement in extraction sites carries a relative risk of failure compared to healed sites.
- Using non-restorable teeth for fixed provisional prostheses proved successful.
- Statistical analysis was limited by reporting variability in transitioning methods.
Conclusions:
- Surgeons should leverage remaining teeth for support during treatment phases.
- A fixed provisional prosthesis aids implant integration and graft healing.
- While specific transitioning methods lack strong evidence, routine techniques are reported.
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