CLINICAL AND RADIOGRAPHIC EVALUATION OF IMMEDIATE IMPLANT PLACEMENT WITH AND WITHOUT "BONE RINGS" IN ESTHETIC ZONE | ||||
| Alexandria Dental Journal | ||||
| Article 19, Volume 43, Issue 2, August 2018, Page 116-122 PDF (662.38 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/adjalexu.2018.57878 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Nihal A. Elnebairy* ; Magued H. Fahmy; Nevien S. Mohamed | ||||
| Abstract | ||||
| INTRODUCTION: Immediate implant placement is now accepted in clinical dentistry for reconstruction of partially or completely edentulous mandible or maxilla. OBJECTIVES: The aim of the study was to evaluate the role of Maxgraft bone rings on the marginal bone level around dental implants placed in fresh extraction sockets. MATERIALS AND METHODS: A randomized clinical trial was carried out on fourteen cases with freshly extracted sockets with age range 20 to 50 years. There were 2 groups, study group and control group, the sockets of the study group were filled with the new “Maxgraft bone ring” and an immediate placement of implants were carried out in the graft site, while the control group sockets had immediate implant placement alone. A clinical and radiological evaluation were carried out immediately postoperatively, after 3 & 6 months to assess the osteointegration of the implant placed and to measure the level of the marginal bone around the implant. After 6 months final prosthesis was delivered. RESULTS: Radiographic evaluation revealed increase in marginal bone level around implants placed in the Maxgraft bone rings than those placed alone with statistical significance (p1 =0.008) CONCLUSIONS: Increase in marginal bone level using the Maxgraft bone rings due to its osteoconductive properties supporting natural and controlled tissue remodeling together with the trabecular structure of the cancellous bone within the graft allow optimal graft revascularization, rapid formation of new bone tissue and bone remodeling. | ||||
| Keywords | ||||
| alveolar bone; fish oil; Induced rheumatoid arthritis; Freund's complete adjuvant | ||||
| References | ||||
|
1. Schwartz-Arad D, Chaushu G. Placement of implants into fresh extraction sites: 4 to 7 years retrospective evaluation of 95 immediate implants. J Periodontol 1997; 68: 1110-6.
2. Schwartz-Arad D, Chaushu G. The ways and wherefores of immediate placement of implants into fresh extraction sites: A literature review. J Periodontol 1997; 68: 915- 23.
3. Schropp L, Isidor F. Timing of implant placement relative to tooth extraction. J Oral Rehabil 2007; 35: 33- 43.
4. Esposito M, Grusovin MG, Kwan S, Worthington HV, Coulthard P. Interventions for replacing missing teeth: bone augmentation techniques for dental implant treatment. Cochrane Database Syst Rev 2008; (3): CD003607.
5. Yukna RA, Castellon P, Saenz-Nasr AM, Owens K, Simmons J, Thunthy KH, et al. Evaluation of hard tissue replacement composite graft material. a ridge preservation/ augmantation material in conjunction with immediate hydroxyapatite coated dental implant. J Preiodontal 2003; 7: 679-86.
6. Martin K, Senpuku H, Hanada N, Ozawa H, Ejris S. Bone regeneration by recombinant human bone morphogenetic portion-2 around immediate implant: a pilot study in rates. J Oral Maxillofac Impl 2003; 18: 211-7.
7. Watzak G, Tepper G, Zechner W, Monov G, Busenlechner D, Watzek G. Bony press-fit closure of oro-antral fistulas: a technique for pre-sinus lift repair and secondary closure. J Oral Maxillofac Surg 2005; 63: 1288-94.
8. Stevens MR, Emam HA, El Alaily M, Sharawy M. Implant bone rings. One-stage threedimensional bone transplant technique: a case report. J Oral Implantol 2010; 1: 69-74.
9. Giesenhagen B, Yuksel O. Einzeitig behandeln mit Knochenringen. Vertikale Augmentation und Implantation in nur einem Eingriff. Implantol J 2010; 14: 50-2.
10. Kielhorn J, Roland B. Improved guided bone ring technique: a case report. EDI J 2011; 1: 42-3.
11. Blanco J, Mareque S, Linares A, Perez J, Munoz F, Ramos I. Impact of immediate loading on early bone healing at two-piece implants placed in fresh extraction sockets: an experimental study in the beagle dog. J Clin Periodontol 2013; 40: 421-9.
12. Boronat A, Carrillo C, Penarrocha M, Pennarocha M. Dental implants placed simultaneously with bone grafts in horizontal defects: a clinical retrospective study with 37 patients. Int J Oral Maxillofac Implants 2010; 25: 189-96.
13. Stevens MR, Emam HA, Alaily ME, Sharawy M. Implant bone rings. One-stage three-dimensional bone transplant technique: a case report. J Oral Implantol 2010; 36: 69-74.
14. Kotz S, Balakrishnan N, Vidakovic B. Encyclopedia of statistical sciences. 2nd ed. Hoboken, N.J.: WileyInterscience; 2006.
15. Kirkpatrick L, Feeney B. A simple guide to IBM SPSS statistics for version 20.0. Belmont, Calif.: Wadsworth, Cengage Learning; 2013.
16. Glavind L, Loe H. Errors in the clinical assessment of periodontal destruction. J Periodontal Res 1967; 2: 180- 4.
17. Marx RE. Bone and bone graft healing. Oral and maxillofacial surgery clinics of North America. 2007; 19(4):455-66.
18. Strbac GD, Unger E, Donner R, Bijak M, Watzek G, Zechner W. Thermal effects of a combined irrigation method during implant site drilling. A standardized in vitro study using a bovine rib model. Clin Oral Implants Res 2012; 25: 665-74.
19. Petrie CS, Williams JL. Comparative evaluation of implant designs: influence of diameter, length, and taper on strains in the alveolar crest—a three-dimensional finite-element analysis. Clin Oral Implants Res 2005; 16: 486-94.
20. Sim CP, Lang NP. Factors influencing resonance frequency analysis assessed by Osstell™ mentor during implant tissue integration: I. Instrument positioning, bone structure, implant length. Clinical oral implants research. 2010; 21(6):598-604.
21. Yoon HG, Heo SJ, Koak JY, Kim SK, Lee SY. Effect of bone quality and implant surgical technique on implant stability quotient (ISQ) value. J Adv Prosthodont 2011; 3: 10-5.
22. Meredith N. Assessment of implant stability as a prognostic determinant. Int J Prosthodont 1998; 11: 491- 501.
23. Sennerby I, Meredith N. Resonance frequency analysis: measuring implant stability and osseointegration. Compend Contin Educ Dent 1998; 19: 493-8.
24. Noumbissi SS, Lozada JL, Boyne PJ, Rohrer MD, Clem D, Kim JS, et al. Clinical, histologic, and histomorphometric evaluation of mineralized solventdehydrated bone allograft (Puros) in human maxillary sinus grafts. J Oral Implantol 2005; 31: 171-9.
25. Iasella JM, Greenwell H, Miller RL, Hill M, Drisko C, Bohra AA, et al. Ridge preservation with freeze-dried bone allograft and a collagen membrane compared to extraction alone for implant site development: a clinical and histologic study in humans. J Periodontol 2003; 74: 990-9.
26. Vance GS, Greenwell H, Miller RL, Hill M, Johnston H, Scheetz JP. Comparison of an allograft in an experimental putty carrier and bovine-derived xenograft used in ridge preservation: a clinical and histologic study in humans. Int J Oral Maxillofac Implants 2004; 19: 491-7.
27. Spin-Neto R, Stavropoulos A, Coletti FL, Faedda RS, Pereira LA, Marcantonio E. Graft incorporation and implant osseointegration following the use of autologous and fresh‐frozen allogeneic block bone grafts for lateral ridge augmentation. Clinical oral implants research. 2014; 25(2):226-33.
28. Waasdorp J, Reynolds MA. Allogeneic bone onlay grafts for alveolar ridge augmentation: a systematic review. International Journal of Oral & Maxillofacial Implants. 2010; 25(3).
29. Rose LF, Rosenberg E. Bone grafts and growth and differentiation factors for regenerative therapy: a review. Practical Procedures & Aesthetic Dentistry. 2001; 13(9):725-34.
30. Canuto RA, Pol R, Martinasso G, Muzio G, Gallesio G, Mozzati M. Hydroxyapatite paste Ostim®, without elevation of full‐thickness flaps, improves alveolar healing stimulating BMP‐and VEGF‐mediated signal pathways: an experimental study in humans. Clinical oral implants research. 2013; 24(A100):42-8.
31. Blanco J, Mareque S, Linares A, Perez J, Munoz F, Ramos I. Impact of immediate loading on early bone healing at two-piece implants placed in fresh extraction sockets: an experimental study in the beagle dog. J Clin Periodontol 2013; 40: 421-9. | ||||
|
Statistics Article View: 275 PDF Download: 813 |
||||
