Journal of Oral Implantology December 2012 - (Page 762)

CASE REPORT Implant Installation With Bone Augmentation and Transmucosal Healing With Demineralized Human Cortical Bone in the Maxillary Anterior Region: Report of 3 Cases Jun-Beom Park, DDS, MSD, PhD* It is well known that a decrease in vertical height and in horizontal width is seen after tooth extraction. Immediate implant placement, originally thought to prevent buccal wall resorption, showed little or no evident decrease of the resorption rate or pattern in animal experiments or clinical studies. Thus, the need for bone augmentation with immediate implantation has been suggested. However, until recently, simultaneous bone augmentation with immediate implant placement was thought to be possible only in a submerged environment. In this report, the harmony of soft and hard tissue was achieved in 3 patients by immediate implant placement and bone augmentation with transmucosal healing in esthetically challenging situations. Further evaluation is needed to monitor hard- and soft-tissue changes on a long-term basis. Implant placement and bone augmentation with transmucosal healing using demineralized bone matrix may be an option in the treatment of the loss of anterior teeth. Key Words: implant, anterior, bone augmentation, transmucosal healing INTRODUCTION t is well known that a decrease is seen in vertical height and in horizontal width after tooth extraction.1 Immediate implant placement, originally thought to prevent buccal wall resorption, resulted in little or no evident decrease of the resorption rate or pattern in animal experiments or clinical studies.2 Thus, the need for bone augmentation with immediate implantation has been suggested. However, until recently, simultaneous bone augmentation with immediate implant placement was thought to be possible only in a submerged environment.3 In this report, the harmony of soft and hard Department of Periodontics, Seoul St Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. * Corresponding author, e-mail: jbassoonis@yahoo.co.kr DOI: 10.1563/AAID-JOI-D-10-00115 I 762 tissue was achieved in 3 cases by immediate implant placement and bone augmentation with transmucosal healing in esthetically challenging situations. CASE DESCRIPTION Case 1 A 21-year-old male patient was referred to the dental clinic for evaluation of the upper anterior region. The patient did not have any medical conditions associated with a compromised healing response. Clinical and radiographic examination indicated that the upper left lateral incisor had a vertically fractured tooth with an unfavorable prognosis (Figure 1a). The patient was referred to the Department of Prosthodontics for further evaluation and creation of a treatment plan. The patient was given a detailed explanation concerning the present state, alternative treatment plans, and Vol. XXXVIII /No. Six /2012

Table of Contents for the Digital Edition of Journal of Oral Implantology December 2012

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Lateral Augmentation of the Maxilla and Mandible Using Framework Technique With Allogeneic Bone Grafts
Accuracy of Cone Beam Computerized Tomography and a Three-Dimensional Stereolithographic Model in Identifying the Anterior Loop of the Mental Nerve: A Study on Cadavers
Evaluation of Microgap Size and Microbial Leakage in the Connection Area of 4 Abutments With Straumann (ITI) Implant
Buccal Bone Plate Remodeling After Immediate Implant Placement With and Without Synthetic Bone Grafting and Flapless Surgery: Radiographic Study in Dogs
Evaluation of Soft Tissues Around Single Tooth Implants in the Anterior Maxilla Restored With Cemented and Screw-Retained Crowns
Accuracy of a Newly Developed Cone-Beam Computerized Tomography-Aided Surgical Guidance System for Dental Implant Placement: An Ex Vivo Study
Nasopalatine Canal Position Relative to the Maxillary Central Incisors: A Cone Beam Computed Tomography Assessment
Esthetics in Implant-Supported Prostheses: A Literature Review
Reliability of Implant Surgical Guides Based on Soft-Tissue Models
Clinical Evaluation of Short and Wide-Diameter Implants Immediately Placed Into Extraction Sockets of Posterior Areas: A 2-Year Retrospective Study
Single Stage Immediate Implant Placements in the Esthetic Zone
Removal of Fractured Dental Implant Screw Using a New Technique: A Case Report
Restoration of Failing Maxillary Implant-Supported Fixed Prosthesis With Cross Arch Splinted Unilateral Zygomatic Implant: A Clinical Report
Oral Rehabilitation of Severe Dentoalveolar Trauma: A Clinical Report
Implant Installation With Bone Augmentation and Transmucosal Healing With Demineralized Human Cortical Bone in the Maxillary Anterior Region: Report of 3 Cases
Bone Morphogenic Protein: An Elixir for Bone Grafting—A Review
Orthodontic Considerations in Restorative Management of Hypodontia Patients With Endosseous Implants
Squamous Cell Carcinoma in Association With Dental Implants: An Assessment of Previously Hypothesized Carcinogenic Mechanisms and a Case Report
Indirect Osteotome Maxillary Sinus Floor Elevation: An Update
Reliability of Implant Surgical Guides Based on Soft-Tissue Models: A Methodological Mistake

Journal of Oral Implantology December 2012