Journal of Oral Implantology June 2013 - (Page 372)

CASE REPORT Implant Placement and Immediate Loading With Fixed Restorations in Augmented Sockets. Five-Year Results. A Case Report Gregory-George K. Zafiropoulos, DDS, Dr.Dent, Dr.habil2* Giorgio Deli, DDS, MD2 Gianluca Vittorini, DDS2 Oliver Hoffmann, DDS, MSc, Dr.med.dent3 In this report, a case is presented in which a patient received eight implants 10 months after tooth extraction and socket preservation. The implants were placed in both arches (maxilla ¼ 4, mandible ¼ 4) and immediately loaded using fixed partial restorations; they remained functional over 5 years. No changes in bleeding on probing or plaque index were observed; however, a 1.5-mm probing attachment level loss was observed during the first 3 years (mean: 0.25 mm/year) with no subsequent changes. Key Words: dental implants, guided bone regeneration (GBR), socket preservation, ridge augmentation, immediate loading INTRODUCTION T he field of implant dentistry has expanded recently due to progress in regenerative procedures and bone biology research, as well as the development of new biomaterials. Dentists and their patients are not only concerned with the functionality and esthetics of implant restorations, but also with the timing of implant loading and care of the implants. The successful immediate loading of dental implants with fixed restorations to restore completely or partially edentulous maxillae and mandibles has been demonstrated.1,2 Due to successful preventative and educational programs, preservation of dentition and esthetics have become important motivators for young 1 ¨ Center Blaues Haus, Dusseldorf, Germany. Division of Periodontology, A. Gemelli Hospital, Catholic University, Rome, Italy. 3 Department of Periodontics, University of Loma Linda, Loma Linda, Calif. * Corresponding author, e-mail: zafiropoulos@blaues-hausduesseldorf.de DOI: 10.1563/AAID-JOI-D-10-00013 2 372 Vol. XXXIX /No. Three / 2013 adults to seek dental treatment. Older adults are often confronted with advanced periodontal disease and tooth loss. Alveolar ridge resorption following tooth extraction is a frequently observed phenomenon that can impair dental implant placement. The advent of guided bone regeneration has provided clinicians with a method to limit this condition.3 Current methods of preventing ridge resorption include the use of particulate autografts, allografts, alloplasts, xenografts, and resorbable or nonresorbable membranes manufactured from various materials.4–8 While the successful use of these techniques to preserve sufficient bone to allow for implant placement has been demonstrated,8 limited data exist to determine the degree to which implant survival may be impaired in regenerated extraction sockets or the best timing for implant loading in these cases. In the case reported here, implants were placed into sites after socket preservation with nonresorbable membrane barriers. The implants were immediately loaded with fixed restorations, and implant success was monitored over a 5-year span.

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

Congratulations to Duke Heller, DDS, MS—Pioneer, Teacher, and Mentor
In Vitro Analysis of Resistance to Cyclic Load and Preload Distribution of Two Implant/ Abutment Screwed Connections
Mandibular Implant-Supported Overdenture: An In Vitro Comparison of Ball, Bar, and Magnetic Attachments
An Exploratory Study on Assessment of Gingival Biotype and Crown Dimensions as Predictors for Implant Esthetics Comparing Caucasian and Indian Subjects
A New Approach to the All-on-Four Treatment Concept Using Narrow Platform NobelActive Implants
Regular and Switching Platform: Bone Stress Analysis With Varying Implant Diameter
Comparison Between Immediate and Delayed Laser-Treated Implants Surface With Switching Platform: A Clinical Retrospective Study
Effect of a Multiporous Beta–Tricalicum Phosphate on Bone Density Around Dental Implants Inserted Into Fresh Extraction Sockets
The Effect of Varying Implant Position in Immediately Loaded Implant-Supported Mandibular Overdentures
Bone Regeneration Around Immediate Implants Utilizing a Dense Polytetrafluoroethylene Membrane Without Primary Closure: A Report of 3 Cases
Socket Preservation and Sinus Augmentation Using a Medical Grade Calcium Sulfate Hemihydrate and Mineralized Irradiated Cancellous Bone Allograft Composite
Implant Placement and Immediate Loading With Fixed Restorations in Augmented Sockets. Five-Year Results. A Case Report
Immediate Placement and Provisionalization With Buccal Plate Preservation: A Case Report of a New Technique
Clinical Importance of Recipient Site Characteristics for Vertical Ridge Augmentation: A Systematic Review of Literature and Proposal of a Classification
Postextraction Implant in Sites With Endodontic Infection as an Alternative to Endodontic Retreatment: A Review of Literature
Letter to the Editor

Journal of Oral Implantology June 2013