Published: Jun 21, 2024
 
 
     
 
Keywords:
Immediate implant placement provisionalization connective tissue graft
 
     
 
   
 
 
 
 
 
 
 
 
 
 
 

 

 
   
 
 
 
    Language
 
      English  
      ภาษาไทย  
 
 
    Information
 
      For Readers  
      For Authors  
      For Librarians  
 
 
    Home ThaiJo
 
   
 
 
 
    Manual
 
      For Author  
      For Reviewer  
 
 
   Author Guidelines
 
      Author Guidelines  
       
 
 
    เว็บไซต์
 
      โรงพยาบาล
    เจริญกรุงประชารักษ
 
      www.ckphosp.go.th  
 
 

 

 
     
    Home / Archives / Vol. 20  No. 1 (2567) : January - June 2024 / Case Report  
 
  Immediate implant placement and provisionalization combined with connective tissue graft in the maxillary central incisor: A case report
 
   
   
     
 
Nudee uaitthipon
Dental department, Klang Hospital, Department of medical services, Bangkok Metropolitan Administration (BMA)

Abstract

Immediate implant placement and provisionalization is a treatment of choice in anterior maxillary teeth. The advantages of immediate implant placement are preserved marginal bone and shorten treatment time by immediate provisionalization. Although the disadvantages are technique sensitive and significant risk of gingival recession. Thus connective tissue graft was add at the same time. A Thai male presented with an unrestorable post and crown of maxillary right central incisor. Immediate implant placement and provisionalization was chosen. Patient received standardized diagnosis and treatment planning. An acrylic resin provisional shell and acrylic removable partial denture was fabricated prior to the implant surgery.


The failing tooth was removed atruamatically and an implant was placed immediately into extraction socket   and provisionalization combined with connective tissue graft. The final restoration was delivered after                    6 months with a screw retained porcelain fused to metal crown on titanium abutment.

 
     
     
 
    How to Cite  
     
  uaitthipon, N. (2024). Immediate implant placement and provisionalization combined with connective tissue graft in the maxillary central incisor: A case report. Journal of Charoenkrung Pracharak Hospital20(1), 60–70. Retrieved from https://he02.tci-thaijo.org/index.php/JCP/article/view/265395  
     

 
 
     
     
 
    Issue  
     
  Vol. 20 No. 1 (2567): January - June 2023  

 
 
     
     
 
    Section  
     
  Case Report  

 
 
     
     
 

References

Johnson K. A study of the dimensional changes occurring in the maxilla following closed face immediate denture treatment. Aust Dent J 1969;14(6):370-6.

Schropp L, Wenzel A, Kostopoulos L, Karring T. Bone healing and soft tissue contour changes following single-tooth extraction: a clinical and radiographic 12-month prospective study. Int J Periodontics Restorative Dent 2003;23(4):313-23.

Araujo MG, Lindhe J. Dimensional ridge alterations following tooth extraction. An experimental study in the dog. J Clin Periodontol 2005;32(2):212-8.

Henry PJ, Liddelow GJ. Immediate loading of dental implants. Aust Dent J 2008;53 Suppl 1:S69-81.

Sennerby L, Gottlow J. Clinical outcomes of immediate/early loading of dental implants. A literature review of recent controlled prospective clinical studies. Aust Dent J 2008;53 Suppl 1:S82-8.

Wittneben JG, Millen C, Bragger U. Clinical performance of screw- versus cement-retained fixed implant-supported reconstructions--a systematic review. Int J Oral Maxillofac Implants 2014;29 Suppl:84-98.

Kan JY, Rungcharassaeng K, Lozada J. Immediate placement and provisionalization of maxillary anterior single implants: 1-year prospective study. Int J Oral Maxillofac Implants 2003;18(1):31-9.

De Rouck T, Collys K, Cosyn J. Immediate single-tooth implants in the anterior maxilla: a 1-year case cohort study on hard and soft tissue response. J Clin Periodontol 2008;35(7):649-57.

Rocci A, Martignoni M, Gottlow J. Immediate loading in the maxilla using flapless surgery, implants placed in predetermined positions, and prefabricated provisional restorations: a retrospective 3-year clinical study. Clin Implant Dent Relat Res 2003;5 Suppl 1:29-36.

Vervaeke S, Collaert B, De Bruyn H. Immediate loading of implants in the maxilla: survival and bone loss after at least 2 years in function. Int J Oral Maxillofac Implants 2013;28(1):216-21.

Collaert B, Wijnen L, De Bruyn H. A 2-year prospective study on immediate loading with fluoride-modified implants in the edentulous mandible. Clin Oral Implants Res 2011;22(10):1111-6.

Malo P, Nobre M, Lopes A. Immediate loading of 'All-on-4' maxillary prostheses using trans-sinus tilted implants without sinus bone grafting: a retrospective study reporting the 3-year outcome. Eur J Oral Implantol 2013;6(3):273-83.

Rocci A, Rocci M, Rocci C, Scoccia A, Gargari M, Martignoni M, et al. Immediate loading of Branemark system TiUnite and machined-surface implants in the posterior mandible, part II: a randomized open-ended 9-year follow-up clinical trial. Int J Oral Maxillofac Implants 2013;28(3):891-5.

Cornelini R, Barone A, Covani U. Connective tissue grafts in postextraction implants with immediate restoration: a prospective controlled clinical study. Pract Proced Aesthet Dent 2008;20(6):337-43.

Bianchi AE, Sanfilippo F. Single-tooth replacement by immediate implant and connective tissue graft: a 1-9-year clinical evaluation. Clin Oral Implants Res 2004;15(3):269-77.

Kan JY, Rungcharassaeng K, Lozada JL. Bilaminar subepithelial connective tissue grafts for immediate implant placement and provisionalization in the esthetic zone. J Calif Dent Assoc 2005;33(11):865-71.

Kan JY, Rungcharassaeng K, Morimoto T, Lozada J. Facial gingival tissue stability after connective tissue graft with single immediate tooth replacement in the esthetic zone: consecutive case report. J Oral Maxillofac Surg 2009;67(11 Suppl):40-8.

Grunder U. Crestal ridge width changes when placing implants at the time of tooth extraction with and without soft tissue augmentation after a healing period of 6 months: report of 24 consecutive cases. Int J Periodontics Restorative Dent 2011;31(1):9-17.

Rungcharassaeng K, Kan JY, Yoshino S, Morimoto T, Zimmerman G. Immediate implant placement and provisionalization with and without a connective tissue graft: an analysis of facial gingival tissue thickness. Int J Periodontics Restorative Dent 2012;32(6):657-63.

Chung S, Rungcharassaeng K, Kan JY, Roe P, Lozada JL. Immediate single tooth replacement with subepithelial connective tissue graft using platform switching implants: a case series. J Oral Implantol 2011;37(5):559-69.

Kan JY, Roe P, Rungcharassaeng K, Patel RD, Waki T, Lozada JL, et al. Classification of sagittal root position in relation to the anterior maxillary osseous housing for immediate implant placement: a cone beam computed tomography study. Int J Oral Maxillofac Implants 2011;26(4):873-6.

Tsuda H, Rungcharassaeng K, Kan JY, Roe P, Lozada JL, Zimmerman G. Peri-implant tissue response following connective tissue and bone grafting in conjunction with immediate single-tooth replacement in the esthetic zone: a case series. Int J Oral Maxillofac Implants 2011;26(2):427-36.

Liu CL, Weisgold AS. Connective tissue graft: a classification for incision design from the palatal site and clinical case reports. Int J Periodontics Restorative Dent 2002;22(4):373-9.

Lazzara RJ, Porter SS. Platform switching: a new concept in implant dentistry for controlling postrestorative crestal bone levels. Int J Periodontics Restorative Dent 2006;26(1):9-17.

Maeda Y, Miura J, Taki I, Sogo M. Biomechanical analysis on platform switching: is there any biomechanical rationale?. Clin Oral Implants Res 2007;18(5):581-4.

Luongo R, Traini T, Guidone PC, Bianco G, Cocchetto R, Celletti R. Hard and soft tissue responses to the platform-switching technique. Int J Periodontics Restorative Dent 2008;28(6):551-7.

Schrotenboer J, Tsao YP, Kinariwala V, Wang HL. Effect of platform switching on implant crest bone stress: a finite element analysis. Implant Dent 2009;18(3):260-9.

Chang CL, Chen CS, Hsu ML. Biomechanical effect of platform switching in implant dentistry: a three-dimensional finite element analysis. Int J Oral Maxillofac Implants 2010;25(2):295-304.

Botticelli D, Berglundh T, Lindhe J. Hard-tissue alterations following immediate implant placement in extraction sites. J Clin Periodontol 2004;31(10):820-8.

Fugazzotto PA. Implant placement in maxillary first premolar fresh extraction sockets: description of technique and report of preliminary results. J Periodontol 2002;73(6):669-74.

Quirynen M, Van Assche N, Botticelli D, Berglundh T. How does the timing of implant placement to extraction affect outcome?. Int J Oral Maxillofac Implants 2007;22 Suppl:203-23.

Cosyn J, Eghbali A, De Bruyn H, Collys K, Cleymaet R, De Rouck T. Immediate single-tooth implants in the anterior maxilla: 3-year results of a case series on hard and soft tissue response and aesthetics. J Clin Periodontol 2011;38(8):746-53.