Document Detail

Therapeutic management for immediate implant placement in sites with periapical deficiencies where coronal bone is present: technique and case report.
MedLine Citation:
PMID:  16796295     Owner:  NLM     Status:  MEDLINE    
A surgical approach is presented that enables the clinician to repair apical bony defects during immediate dental implant placement without compromising the integrity of the coronal bone and gingiva. This apical surgical technique retains the soft tissue form in the coronal aspect of the gingiva and allows the clinician to repair the apical bone loss or fenestration. A clinical case is presented to describe the technique. This technique is utilized in cases of immediate implant placement. After extraction of the tooth, the socket is evaluated. In cases where coronal bone is intact but apical bone is deficient, a flap technique is utilized to expose the defect. The implant osteotomy is prepared, and the implant is placed. A healing cap or gingival prosthetic component is connected. The bony defect is repaired with a bone graft and, where necessary, a membrane. The apicoectomy flap is sutured. The clinical results obtained using this technique will enable the clinician to accomplish the bone regenerative procedure without extending the flap to the coronal aspect of the socket during immediate implant placement. This technique assists in the maintenance and integrity of the soft tissue form, which is critical for optimal esthetic results.
Cyril I Evian; Ahmed Al-Momani; Edwin S Rosenberg; Farshid Sanavi
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The International journal of oral & maxillofacial implants     Volume:  21     ISSN:  0882-2786     ISO Abbreviation:  Int J Oral Maxillofac Implants     Publication Date:    2006 May-Jun
Date Detail:
Created Date:  2006-06-26     Completed Date:  2006-08-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8611905     Medline TA:  Int J Oral Maxillofac Implants     Country:  United States    
Other Details:
Languages:  eng     Pagination:  476-80     Citation Subset:  D; IM    
Department of Postdoctoral Periodontics and Implant Dentistry, University of Pennsylvania School of Dental Medicine, Evans Building, Rm W-1, 240 South 40th Street, Philadelphia, PA 19104-6030, USA.
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MeSH Terms
Apicoectomy / methods*
Dental Implantation, Endosseous / methods*
Dental Implants
Guided Tissue Regeneration, Periodontal / methods*
Middle Aged
Time Factors
Tooth Extraction*
Reg. No./Substance:
0/Dental Implants

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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