The Journal of Contemporary Dental Practice

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 15 , ISSUE 2 ( March-April, 2014 ) > List of Articles

RESEARCH ARTICLE

Immediate Placement and Loading of Maxillary Single- Tooth Implants: A 3-Year Prospective Study of Marginal Bone Level

Antoine N Berberi, Ziad N Noujeim, Wasfi H Kanj, Rita J Mearawi, Ziad A Salameh

Citation Information : Berberi AN, Noujeim ZN, Kanj WH, Mearawi RJ, Salameh ZA. Immediate Placement and Loading of Maxillary Single- Tooth Implants: A 3-Year Prospective Study of Marginal Bone Level. J Contemp Dent Pract 2014; 15 (2):202-208.

DOI: 10.5005/jp-journals-10024-1515

Published Online: 01-04-2014

Copyright Statement:  Copyright © 2014; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim

The purpose of this study was to evaluate marginal bone level around single-tooth implants placed in anterior maxilla and immediately restored.

Materials and Methods

Twenty implants were placed in 20 patients (8 men and 12 women) that were selected for this study. Following atraumatic non-surgical extraction of tooth, all patients immediately received implants and the definitive prefabricated abutment was placed. Implant position was transferred to the scanning unit of the CAD/CAM system using prefabricated surgical guide. Temporary crowns were immediately fabricated and cemented.

Eight weeks later final crowns were luted. Outcome assessment as implant survival and level of marginal bone radiographic evaluations were performed at 8 weeks, 1 and 3 years time period after loading.

Results

All implants placed osseointegrated successfully after 3 years of functional loading.

The mean marginal bone loss was 0.16 mm (SD, 0.167 mm), 0.275 mm (SD, 0.171 mm) and 0.265 mm (SD, 0.171 mm) at 8 weeks, 1 and 3 years time period respectively. Four out of the 20 implants showed no bone loss.

Conclusion

Immediate loading technique using the final abutment directly eliminated the need for a second stage surgery and prevented interruption of soft and hard tissue at implant neck, which resulted in better soft tissue response and reduced marginal bone loss.

Clinical significance

Immediately loaded implants, in fresh extraction sockets by insertion of a provisional restoration on the titanium abutment without any later manipulation, helped to protect the initially forming blood clot and presented a template for soft tissue contouring that resulted in significant reduction of marginal bone resorption and maintenance of soft tissue architecture.

How to cite this article

Berberi AN, Noujeim ZN, Kanj WH, Mearawi RJ, Salameh ZA. Immediate Placement and Loading of Maxillary Single-Tooth Implants: A 3-Year Prospective Study of Marginal Bone Level. J Contemp Dent Pract 2014;15(2): 202-208.


PDF Share
  1. A 5-year prospective study of implantsupported single-tooth replacements. J Can Dent Assoc 2002;68:110-116.
  2. A retrospective evaluation of 259 singletooth replacements by the use of Bränemark implants. Int J Prosthodont 1999:12:483-491.
  3. Biological factors contributing to failures of osseointegrated oral implants. (II). Etiopathogenesis. Eur J Oral Sci 1998;106:721-764.
  4. A meta-analysis of implants in partial edentulism. Clin Oral Implants Res 1998;9:80-90.
  5. Bone remodeling around implants placed in fresh extraction sockets. Int J Periodontics Restorative Dent 2010;30:601-607.
  6. Dimensional changes of peri-implant soft tissue over 2 years with single-implant crowns in the anterior maxilla. J Clin Periodontol 2011;38:293-299.
  7. Immediate nonocclusal loading of single implants in the aesthetic zone: a randomized clinical trial. J Clin Periodontol 2011;38:186-194.
  8. Facial gingival tissue stability following immediate placement and provisionalization of maxillary anterior single implants: a 2 to 8 years follow-up. Int J Oral Maxillofac Implants 2011;26:179-187.
  9. Comparison of radiographic and clinical outcomes following immediate provisionalization of single-tooth dental implants placed in healed alveolar ridges and extraction sockets. Int J Oral Maxillofac lmplants 2010;25:1222-1232.
  10. Immediate and conventional single implant treatment in the anterior maxilla: 1-year results of a case series on hard and soft tissue response and aesthetics. J Clin Periodontol 2011;38:385-394.
  11. Immediate positioning of a definitive abutment versus repeated abutment replacements in post-extractive implants: 3-year follow-up of a randomized clinical trial. Eur J Oral Implantol 2010;3:285-296.
  12. Clinical and radiographic evaluation of immediately loaded one-piece implants placed into fresh extraction sockets. Quintessence Int 2012;43(6):449-456.
  13. One abutment at one time: non-removal of an immediate abutment and its effect on bone healing around subcrestal tapered implants. Clin Oral Implant Res 2011;22:1303-1307.
  14. The effect of abutment dis/reconnections on peri-implant bone resorption: a radiologic study of platform-switched and non-platform-switched implants placed in animals. Clin Oral Implants Res 2011;24:1-7.
  15. Effect of immediate functional loading on osseointegration of implants used for single tooth replacement. A human histological study. Clin Oral Implants Res 2012;24:1-8.
  16. Concensus report of session IV. In: Lang NP, Karring T, editors Proceedings of the 1st European Workshop on Periodontology. London, England: Quintessence 1993;365-369.
  17. Concensus report of session III: clinical trials. In: Lang NP, Karring T, Lindhe J. editors Proceedings of the 3rd European Workshop on Periodontology. Implant dentistry. Berlin, Germany: Quintessence 1999:2555-2559.
  18. Reasons for marginal bone loss around oral implants. Clin Implant Dent Relat Res 2012;14:792-807.
  19. A comparison of peripheral marginal bone loss at dental implants measured with conventional intraoral film and digitized radiographs. J Oral Implantol 2012;38:211-218.
  20. A multicenter 12-month evaluation of single-tooth implants restored 3 weeks after 1-stage surgery. Int J Oral Maxillofac lmplants 2001;16:182-192.
  21. A 5-year prospective study of Astra single tooth implants. Clin Oral lmplants Res 2000;11:179-182.
  22. Immediate provisionalization of single extraction-site implants in the esthetic zone: a clinical evaluation. Int J Periodontics Restorative Dent 2010;30:41-51.
  23. Factors affecting soft tissue level around anterior maxillary single-tooth implants. Clin Oral Implants Res 2010;21:662-670.
  24. Implants in fresh extraction sockets: a prospective 5-year follow-up clinical study. Clin Oral Implants Res 2008;19:1226-1232.
  25. Natural teeth used as provisionals in immediate implant loading in the maxilla: a case report. Implant Dent 2012;21:25-27.
  26. Immediate placement and provisionalization of a dental implant utilizing the CEREC 3 CAD/CAM Protocol: a clinical case report. J Calif Dent Assoc 2010;38:170-3,176-177.
  27. The revision of the Declaration of Helsinki: past, present and future. Br J Clin Pharmacol 2004;57(6):695-713.
  28. Fabrication and use of a simple implant placement guide. J Prosthet Dent 2004;92:196-199.
  29. Marginal bone level changes at dental implants after 5 years in function: a meta-analysis. Clin Implant Dent Relat Res 2011;13:19-28.
  30. A retrospective analysis of peri-implant tissue response at immediate load/provisionalized micro-threaded implants. Int J Oral Maxillofac lmplants 2006;21:405-412.
  31. Modeling and remodeling of human extraction sockets. J Clin Periodontl 2008;35:630-639.
  32. On behalf of the osteology consensus group 2011. Evidence-based knowledge on the biology and treatment of extraction sockets. Clin Oral Impl Res 2012;23:80-82.
  33. Analysis of the socket bone wall dimensions in the upper maxilla in relation to immediate implant placement. Clin Oral Impl Res 2010;21:37-42.
  34. A 10-year prospective study of single tooth implants placed in the anterior. Clin Impl Dent Relat Res 2012;14:80-87.
  35. Marginal bone loss at implants: a retrospective, long term follow-up of turned Bränemark system implants. Clin Impl Dent Relat Res 2009;11:11-23.
  36. Bone reactions to longstanding functional load at implants: an experimental study in dogs. J Clin Periodontol 2005 Sep;32(9):925-932.
  37. The effect of the surface roughness of porcelain on the adhesion of oral Streptococcus mutans. J Contemp Dent Pract 2009;10:E017-24.
  38. An 1-year prospective clinical study of soft tissue conditions and marginal bone changes around dental implants after flapless implant surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011;111:41-46.
  39. Retrospective multicenter analysis of immediate provisionalization using one piece narrow-diameter (3.0-mm) implants. Int J Oral Maxillofac Implants 2011;26:163-168.
  40. 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;38:746-753.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.