Journal of Oral Implantology February 2013 - (Page 98)

CASE REPORT Immediate Postextraction Implant Placement Using Plasma Rich in Growth Factors Technology in Maxillary Premolar Region: A New Strategy for Soft Tissue Management Gabriele Rosano, DDS, PhD Silvio Taschieri, MD, DDS Massimo Del Fabbro, BSc, PhD* Achieving an excellent aesthetic outcome in postextraction dental implant placement in the anterior maxilla is a challenging procedure for clinicians. In fact, there is an increased risk for soft tissue recession at the facial aspect which may require supplementary connective tissue grafts to accomplish the final aesthetic result. The aim of this case report is to describe a regenerative technique using autologous plasma rich in growth factors fibrin plug for preservation of soft tissue architecture around an implant immediately placed into an extraction site in the anterior maxilla. Such a procedure allowed for guided bone regeneration without the need for vertical releasing incisions and primary healing, thus showing a pleasant gingival contour at the facial aspect after a single stage surgery. Integrating this technique into common practice could provide important benefits for the patients regarding aesthetics, without any risk of infection or transmission of diseases. Key Words: immediate implant placement, extraction socket, aesthetics, soft tissue recession, plasma rich in growth factors (PRGF) INTRODUCTION T he placement of dental implants into fresh extraction sockets was introduced in the late 1970s. Immediate postextraction implant placement offers both the patient and clinician a number of benefits and is, nowadays, a well-accepted protocol because of the preservation of esthetics, shorter total treatment time, maintenance of socket walls, reduced surgical time, and better actual implant placement.1 Nevertheless, after immediate single-tooth re- Department of Biomedical, Surgical and Dental Sciences, Dental ` Clinic, Galeazzi Orthopaedic Institute, Universita degli Studi di Milano, Milan, Italy. * Corresponding author, e-mail: massimo.delfabbro@unimi.it DOI: 10.1563/AAID-JOI-D-11-00043 98 Vol. XXXIX /No. One /2013 placement with dental implants, the socket as well as the surrounding soft tissues may undergo extensive remodeling and resorption, particularly at the buccal side.2 The success of implant therapy in the anterior maxilla (ie, teeth 4–13) is not only based upon high survival rates but, especially, upon the esthetic aspect of the peri-implant soft tissue, which should be in harmony with the mucosa of the adjacent teeth.3 In order to avoid the regression of the bony architecture and the interproximal papillae, various hard and soft tissue augmentation procedures have been proposed, though they require considerable technical skillfulness, and their outcomes are sometimes unpredictable.4 In postextraction implant placement, achieving an optimal outcome in the esthetic region is a challenging procedure for clinicians. In fact, an

Table of Contents for the Digital Edition of Journal of Oral Implantology February 2013

Could the Fountain of Youth Be All in Your Bones?
Vertical Bone Augmentation With Simultaneous Implant Placement Using Particulate
Evaluation of the Bone Healing Process Utilizing Platelet-Rich Plasma Activated by Thrombin
Effect of Model Parameters on Finite Element Analysis of Micromotions in Implant Dentistry
Peri-Implant Defect Augmentation With Autogenous Bone: A Study in Beagle Dogs
Would Nitric Oxide be an Effective Marker for Earlier Stages of Peri-Implant Disease? An
The Effect of Different Surface Treatments on Cement-Retained Implant-Supported
Effect of Rotating Osteotomes on Primary Implant Stability—An In Vitro Investigation
Horizontal Augmentation Through the Ridge-Split Procedure: A Predictable Surgical
The Bis-Acryl Stent
Clinical, Histological, and Histomorphometrical Analysis of Maxillary Sinus Augmentation
A Technique to Salvage a Single Implant-Supported Fixed Dental Prosthesis Having a
Ridge Expansion and Immediate Placement With Piezosurgery and Screw Expanders in
Pterygoid Implants for Maxillofacial Rehabilitation of a Patient With a Bilateral Maxillectomy
Technology in Maxillary Premolar Region: A New Strategy for Soft Tissue Management
Fracture of Anterior Iliac Crest Following Bone Graft Harvest in an Anorexic Patient: Case
A Technique for Constructing a New Maxillary Overdenture to a Nonretrievable Implant
Edentulous Maxillary Arch Fixed Implant Rehabilitation Using a Hybrid Prosthesis Made of

Journal of Oral Implantology February 2013