Adell R, Lekholm U, Rockler B, Brånemark PI. A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. Int J Oral Surg. 1981; 10:387-416 https://doi.org/10.1016/s0300-9785(81)80077-4
Albrektsson T, Brunski J, Wennerberg A. ‘A requiem for the periodontal ligament’ revisited. Int J Prosthodont. 2009; 22:120-122
Mavrogenis AF, Dimitriou R, Parvizi J, Babis GC. Biology of implant osseointegration. J Musculoskelet Neuronal Interact. 2009; 9:61-71
Buser D, Sennerby L, De Bruyn H. Modern implant dentistry based on osseointegration: 50 years of progress, current trends and open questions. Periodontol 2000. 2017; 73:7-21 https://doi.org/10.1111/prd.12185
Albrektsson T, Zarb G, Worthington P, Eriksson AR. The long-term efficacy of currently used dental implants: a review and proposed criteria of success. Int J Oral Maxillofac Implants. 1986; 1:11-25
Albrektsson T, Dahl E, Enbom L Osseointegrated oral implants. A Swedish multicenter study of 8139 consecutively inserted Nobelpharma implants. J Periodontol. 1988; 59:287-296 https://doi.org/10.1902/jop.1988.59.5.287
Moraschini V, Poubel LA, Ferreira VF Evaluation of survival and success rates of dental implants reported in longitudinal studies with a follow-up period of at least 10 years: a systematic review. Int J Oral Maxillofac Surg. 2015; 44:377-388 https://doi.org/10.1016/j.ijom.2014.10.023
Ryu HS, Namgung C, Lee JH, Lim YJ. The influence of thread geometry on implant osseointegration under immediate loading: a literature review. J Adv Prosthodont. 2014; 6:547-554 https://doi.org/10.4047/jap.2014.6.6.547
Truhlar RS, Orenstein IH, Morris HF, Ochi S. Distribution of bone quality in patients receiving endosseous dental implants. J Oral Maxillofac Surg. 1997; 55:(12)38-45 https://doi.org/10.1016/s0278-2391(16)31196-x
Pjetursson BE, Thoma D, Jung R A systematic review of the survival and complication rates of implant-supported fixed dental prostheses (FDPs) after a mean observation period of at least 5 years. Clin Oral Implants Res. 2012; 23:22-38 https://doi.org/10.1111/j.1600-0501.2012.02546.x
Jung RE, Zembic A, Pjetursson BE Systematic review of the survival rate and the incidence of biological, technical, and aesthetic complications of single crowns on implants reported in longitudinal studies with a mean follow-up of 5 years. Clin Oral Implants Res. 2012; 23:2-21 https://doi.org/10.1111/j.1600-0501.2012.02547.x
Sailer I, Mühlemann S, Zwahlen M Cemented and screw-retained implant reconstructions: a systematic review of the survival and complication rates. Clin Oral Implants Res. 2012; 23:163-201 https://doi.org/10.1111/j.1600-0501.2012.02538.x
Lang NP, Zitzmann NU Clinical research in implant dentistry: evaluation of implant-supported restorations, aesthetic and patient-reported outcomes. J Clin Periodontol. 2012; 39:133-138 https://doi.org/10.1111/j.1600-051X.2011.01842.x
Esposito M, Blasone R, Favaretto G A comparison of two dental implant systems in partially edentulous patients: 4-month post-loading results from a pragmatic multicentre randomised controlled trial. Eur J Oral Implantol. 2013; 6:169-179
Tan WC, Lang NP, Schmidlin K The effect of different implant neck configurations on soft and hard tissue healing: a randomized-controlled clinical trial. Clin Oral Implants Res. 2011; 22:14-19 https://doi.org/10.1111/j.1600-0501.2010.01982.x
Kim SG, Hasselgren G, Alexander S, Lee SW, Solomon C. Retrospective evaluation of treatment planning for dental implant. J Am Coll Dent. 2015; 82:25-30
Torabinejad M, White SN. Endodontic treatment options after unsuccessful initial root canal treatment: alternatives to single-tooth implants. J Am Dent Assoc. 2016; 147:214-220 https://doi.org/10.1016/j.adaj.2015.11.017
Yao J, Lee KK, McGrath C Comparison of patient-centered outcomes after routine implant placement, teeth extraction, and periodontal surgical procedures. Clin Oral Implants Res. 2017; 28:373-380 https://doi.org/10.1111/clr.12794
Chappuis V, Rahman L, Buser R Effectiveness of contour augmentation with guided bone regeneration: 10-year results. J Dent Res. 2018; 97:266-274 https://doi.org/10.1177/0022034517737755
Buser D, Chappuis V, Bornstein MM Long-term stability of contour augmentation with early implant placement following single tooth extraction in the esthetic zone: a prospective, cross-sectional study in 41 patients with a 5-to 9-year follow-up. J Periodontol. 2013; 84:1517-1527 https://doi.org/10.1902/jop.2013.120635
Abraham S, Deepak KT, Ambili R Gingival biotype and its clinical significance – a review. Saudi J Dent Res. 2014; 5:3-7
Zawawi KH, Al-Zahrani MS. Gingival biotype in relation to incisors' inclination and position. Saudi Med J. 2014; 35:1378-1383
Shah R, Sowmya NK, Mehta DS. Prevalence of gingival biotype and its relationship to clinical parameters. Contemp Clin Dent. 2015; 6:S167-171 https://doi.org/10.4103/0976-237X.166824
Becker W, Ochsenbein C, Tibbetts L, Becker BE. Alveolar bone anatomic profiles as measured from dry skulls. Clinical ramifications. J Clin Periodontol. 1997; 24:727-731 https://doi.org/10.1111/j.1600-051x.1997.tb00189.x
Hämmerle CH, Araújo MG, Simion M Evidence-based knowledge on the biology and treatment of extraction sockets. Clin Oral Implants Res. 2012; 23:80-82 https://doi.org/10.1111/j.1600-0501.2011.02370.x
Araújo MG, Sukekava F, Wennström JL, Lindhe J. Ridge alterations following implant placement in fresh extraction sockets: an experimental study in the dog. J Clin Periodontol. 2005; 32:645-652 https://doi.org/10.1111/j.1600-051X.2005.00726.x
Araújo MG, da Silva JCC, de Mendonça AF, Lindhe J. Ridge alterations following grafting of fresh extraction sockets in man. A randomized clinical trial. Clin Oral Implants Res. 2015; 26:407-412 https://doi.org/10.1111/clr.12366
Elian N, Cho SC, Froum S A simplified socket classification and repair technique. Pract Proced Aesthet Dent. 2007; 19:99-104
Araújo MG, Sukekava F, Wennström JL, Lindhe J. Tissue modeling following implant placement in fresh extraction sockets. Clin Oral Implants Res. 2006; 17:615-624 https://doi.org/10.1111/j.1600-0501.2006.01317.x
Kolerman R, Nissan J, Rahmanov A Radiological and biological assessment of immediately restored anterior maxillary implants combined with GBR and free connective tissue graft. Clin Implant Dent Relat Res. 2016; 18:1142-1152 https://doi.org/10.1111/cid.12417
Schropp L, Wenzel A, Stavropoulos A. Early, delayed, or late single implant placement: 10-year results from a randomized controlled clinical trial. Clin Oral Implants Res. 2014; 25:1359-1365 https://doi.org/10.1111/clr.12273
Al Amri MD. Crestal bone loss around submerged and nonsubmerged dental implants: a systematic review. J Prosthet Dent. 2016; 115:564-570.e1 https://doi.org/10.1016/j.prosdent.2015.11.002
Meltzer AM. Immediate implant placement and restoration in infected sites. Int J Periodontics Restorative Dent. 2012; 32:e169-173
Romeed SA, Malik R, Dunne SM. Marginal bone loss influence on the biomechanics of single implant crowns. J Craniofac Surg. 2013; 24:1459-1565 https://doi.org/10.1097/SCS.0b013e3182902db0
Bäumer D, Zuhr O, Rebele S, Hürzeler M. Socket shield technique for immediate implant placement – clinical, radiographic and volumetric data after 5 years. Clin Oral Implants Res. 2017; 28:1450-1458 https://doi.org/10.1111/clr.1301
Buser D, Chappuis V, Kuchler U Long-term stability of early implant placement with contour augmentation. J Dent Res. 2013; 92:176S-82S https://doi.org/10.1177/0022034513504949
Chappuis V, Rahman L, Buser R Effectiveness of contour augmentation with guided bone regeneration: 10-year results. J Dent Res. 2018; 97:266-274 https://doi.org/10.1177/0022034517737755
Chappuis V, Engel O, Shahim K Soft tissue alterations in esthetic postextraction sites: a 3-dimensional analysis. J Dent Res. 2015; 94:187S-193S https://doi.org/10.1177/0022034515592869
Chappuis V, Engel O, Reyes M Ridge alterations post-extraction in the esthetic zone: a 3D analysis with CBCT. J Dent Res. 2013; 92:195S-201S https://doi.org/10.1177/0022034513506713
Buser D, Martin W, Belser UC. Optimizing esthetics for implant restorations in the anterior maxilla: anatomic and surgical considerations. Int J Oral Maxillofac Implants. 2004; 19 Suppl:43-61
Chrcanovic BR, Albrektsson T, Wennerberg A. Tilted versus axially placed dental implants: a meta-analysis. J Dent. 2015; 43:149-170 https://doi.org/10.1016/j.jdent.2014.09.002
Tarnow D, Elian N, Fletcher P Vertical distance from the crest of bone to the height of the interproximal papilla between adjacent implants. J Periodontol. 2003; 74:1785-1788 https://doi.org/10.1902/jop.2003.74.12.1785
Vignoletti F, Nunez J, Sanz M. Soft tissue wound healing at teeth, dental implants and the edentulous ridge when using barrier membranes, growth and differentiation factors and soft tissue substitutes. J Clin Periodontol. 2014; 41:S23-35 https://doi.org/10.1111/jcpe.12191
Vignoletti F, Nunez J, Sanz M. Soft tissue wound healing at teeth, dental implants and the edentulous ridge when using barrier membranes, growth and differentiation factors and soft tissue substitutes. J Clin Periodontol. 2014; 41:S23-35 https://doi.org/10.1111/jcpe.12191
Thoma DS, Buranawat B, Hämmerle CH Efficacy of soft tissue augmentation around dental implants and in partially edentulous areas: a systematic review. J Clin Periodontol. 2014; 41:S77-91 https://doi.org/10.1111/jcpe.12220
This article discusses the surgical considerations for stabilizing and enhancing soft and hard tissues around dental implants. Recession is one of the recognized complications around dental implants, especially in the aesthetic zone. The novelty of computed dental implantology has widened the practice of dental implants with increased predictability and better safety margins. However, case selection is paramount to fulfil patients' functional and aesthetic expectations in the short and long term. 3D surgical planning for dental implant placement is key to ensure maximum stability of the soft and hard tissues around dental implants and reduce the risks of biological and mechanical complications. Holistic treatment planning needs to be formulated to achieve the expected aesthetic and functional treatment outcomes and ensure that there is no soft tissue or bone loss.
CPD/Clinical Relevance: Knowledge of the surgical considerations in placing dental implants is essential for achieving a good aesthetic and functional outcome.
Article
The history of dental implants goes back to the 1960s when Brånemark and his team used pure titanium alloy as an alternative to other metal alloys owing to its biocompatibility and favourable mechanical properties.1 The initial success encouraged more research, which led to increased use of dental implants in replacing missing teeth.1
In the early 1980s, the term ‘osseo-integration’ was coined by a group of scientists and clinicians as ‘a direct structural and functional connection between ordered living bone and the surface of a load-carrying implant’.2–4 Later, in 1986, the criteria for successful dental implants were summarized by Albrektsson: no mobility, no peri-implant radiolucency, bone loss less than 0.2 mm/year, no infection, no pain or paraesthesia.5,6
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