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Timing of implant placement relative to tooth extraction

Identifieur interne : 006C06 ( Istex/Curation ); précédent : 006C05; suivant : 006C07

Timing of implant placement relative to tooth extraction

Auteurs : L. Schropp [Danemark] ; F. Isidor [Danemark]

Source :

RBID : ISTEX:D9DA4F7788E8F471D79C47D338FF358223D9123B

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English descriptors

Abstract

Summary  In recent years, immediate or early implant placement after tooth extraction has becoming more common. The present review focuses on the clinical outcome of immediate or early implant placement. Only limited knowledge exists about most of the factors with particular significance for this treatment mode. Randomized controlled clinical studies comparing the various treatment protocols are scarce. With the background in the existing literature some conclusions can be drawn with caution. Survival rates for implants placed immediately, early, delayed, or late seem to be similar in the short perspective and amounts to approximately 95%. Successful immediate implant placement may be possible in all regions of the jaws, although replacement of molars is more challenging. Chronic infection is not an absolute contraindication for immediate implant placement. It is controversial whether immediate placement of implants may preserve the alveolar bone. Small gaps between implant surface and socket wall have a potential for spontaneous healing. No consensus exists on the need for bone augmentation in these situations. With the limited information available it may be stated that a good prognosis can be obtained following immediate/early functional or non‐functional loading of immediately placed implants. However, higher risk of failures seems to exist compared with a delayed, conventional approach. It is advocated that this treatment modality should be restricted to skilled well‐trained teams. Data on the aesthetic outcomes following immediate/early implant placement are inconclusive, but this treatment can offer high patient satisfaction with the aesthetic and functional outcomes.

Url:
DOI: 10.1111/j.1365-2842.2007.01827.x

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ISTEX:D9DA4F7788E8F471D79C47D338FF358223D9123B

Le document en format XML

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<term>Aesthetics</term>
<term>Alveolar bone</term>
<term>Alveolus</term>
<term>Apless</term>
<term>Apless surgery</term>
<term>Augmentation</term>
<term>Blackwell publishing</term>
<term>Bone augmentation procedures</term>
<term>Bone defects</term>
<term>Careful case selection</term>
<term>Clin</term>
<term>Clin implant dent relat</term>
<term>Clin periodontol</term>
<term>Clinical outcome</term>
<term>Clinical procedures</term>
<term>Clinical report</term>
<term>Clinical studies</term>
<term>Crestal bone loss</term>
<term>Dehiscence</term>
<term>Dent</term>
<term>Dental implants</term>
<term>Early implant placement</term>
<term>Early placement</term>
<term>Edentulous</term>
<term>Extraction</term>
<term>Extraction site</term>
<term>Extraction socket</term>
<term>Extraction sockets</term>
<term>Fresh extraction sites</term>
<term>Fresh extraction sockets</term>
<term>Immediate implant placement</term>
<term>Immediate implants</term>
<term>Immediate placement</term>
<term>Immediate transmucosal implants</term>
<term>Implant</term>
<term>Implant placement</term>
<term>Implant site</term>
<term>Implant surface</term>
<term>International journal</term>
<term>Isidor</term>
<term>Journal compilation</term>
<term>Literature review</term>
<term>Mandible</term>
<term>Marginal periodontitis</term>
<term>Maxilla</term>
<term>Maxillary</term>
<term>Maxillofac</term>
<term>Molar</term>
<term>Oral maxillofac implants</term>
<term>Osseointegration</term>
<term>Other hand</term>
<term>Patient satisfaction</term>
<term>Periodontol</term>
<term>Placement</term>
<term>Pocket depth</term>
<term>Primary implant stability</term>
<term>Primary stability</term>
<term>Prosthesis</term>
<term>Protocol</term>
<term>Randomized</term>
<term>Retrospective study</term>
<term>Schropp</term>
<term>Socket</term>
<term>Socket wall</term>
<term>Spontaneous healing</term>
<term>Survival rates</term>
<term>Tapered implants</term>
<term>Tooth extraction</term>
<term>Transmucosal</term>
<term>Transmucosal implants</term>
<term>Treatment modality</term>
<term>Treatment option</term>
<term>Treatment outcome</term>
<term>Treatment success</term>
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<term>Alveolar bone</term>
<term>Alveolus</term>
<term>Apless</term>
<term>Apless surgery</term>
<term>Augmentation</term>
<term>Blackwell publishing</term>
<term>Bone augmentation procedures</term>
<term>Bone defects</term>
<term>Careful case selection</term>
<term>Clin</term>
<term>Clin implant dent relat</term>
<term>Clin periodontol</term>
<term>Clinical outcome</term>
<term>Clinical procedures</term>
<term>Clinical report</term>
<term>Clinical studies</term>
<term>Crestal bone loss</term>
<term>Dehiscence</term>
<term>Dent</term>
<term>Dental implants</term>
<term>Early implant placement</term>
<term>Early placement</term>
<term>Edentulous</term>
<term>Extraction</term>
<term>Extraction site</term>
<term>Extraction socket</term>
<term>Extraction sockets</term>
<term>Fresh extraction sites</term>
<term>Fresh extraction sockets</term>
<term>Immediate implant placement</term>
<term>Immediate implants</term>
<term>Immediate placement</term>
<term>Immediate transmucosal implants</term>
<term>Implant</term>
<term>Implant placement</term>
<term>Implant site</term>
<term>Implant surface</term>
<term>International journal</term>
<term>Isidor</term>
<term>Journal compilation</term>
<term>Literature review</term>
<term>Mandible</term>
<term>Marginal periodontitis</term>
<term>Maxilla</term>
<term>Maxillary</term>
<term>Maxillofac</term>
<term>Molar</term>
<term>Oral maxillofac implants</term>
<term>Osseointegration</term>
<term>Other hand</term>
<term>Patient satisfaction</term>
<term>Periodontol</term>
<term>Placement</term>
<term>Pocket depth</term>
<term>Primary implant stability</term>
<term>Primary stability</term>
<term>Prosthesis</term>
<term>Protocol</term>
<term>Randomized</term>
<term>Retrospective study</term>
<term>Schropp</term>
<term>Socket</term>
<term>Socket wall</term>
<term>Spontaneous healing</term>
<term>Survival rates</term>
<term>Tapered implants</term>
<term>Tooth extraction</term>
<term>Transmucosal</term>
<term>Transmucosal implants</term>
<term>Treatment modality</term>
<term>Treatment option</term>
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<div type="abstract">Summary  In recent years, immediate or early implant placement after tooth extraction has becoming more common. The present review focuses on the clinical outcome of immediate or early implant placement. Only limited knowledge exists about most of the factors with particular significance for this treatment mode. Randomized controlled clinical studies comparing the various treatment protocols are scarce. With the background in the existing literature some conclusions can be drawn with caution. Survival rates for implants placed immediately, early, delayed, or late seem to be similar in the short perspective and amounts to approximately 95%. Successful immediate implant placement may be possible in all regions of the jaws, although replacement of molars is more challenging. Chronic infection is not an absolute contraindication for immediate implant placement. It is controversial whether immediate placement of implants may preserve the alveolar bone. Small gaps between implant surface and socket wall have a potential for spontaneous healing. No consensus exists on the need for bone augmentation in these situations. With the limited information available it may be stated that a good prognosis can be obtained following immediate/early functional or non‐functional loading of immediately placed implants. However, higher risk of failures seems to exist compared with a delayed, conventional approach. It is advocated that this treatment modality should be restricted to skilled well‐trained teams. Data on the aesthetic outcomes following immediate/early implant placement are inconclusive, but this treatment can offer high patient satisfaction with the aesthetic and functional outcomes.</div>
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