Rapid implant therapies: immediate implant placement and immediate restoration
Article Outline
During the last decade, the effectiveness of implant therapy has greatly improved, and the demands of dental esthetics in implant dentistry have become an important issue. The traditional two-stage implant protocol with delayed restoration has a treatment duration of 1–2 years, in which patients had to wear a removable appliance and experienced significant discomfort during the recovery period. Nowadays, immediate implant placement into an extraction site followed by immediate restoration of a dental implant can shorten the dental rehabilitation time and preserve patients' esthetic appearance at all stages of treatment. However, these treatment protocols always pose a great challenge to clinicians, especially when treating patients with preexisting soft and hard tissue deficiencies. The aim of this report is to present various treatment modalities to provide immediate tissue reconstruction and implant restoration following tooth extraction. With appropriate patient selection and careful clinical planning, these treatment strategies can lessen the number of surgeries required, condense treatment times, reduce discomfort to the patient, and accelerate the restoration process.
Key Words: dental implants , immediate implants , immediate loading , immediate restoration
No full text is available. To read the body of this article, please view the PDF online.
References
- . Osseointegration and its experimental background . J Prosthet Dent . 1983;50:399–410
- . Dental implant therapy for a patient with generalized severe aggressive periodontitis . Chin J Periodontol . 2007;12:99–114
- . Bone healing and soft tissue contour changes following single-tooth extraction: a clinical and radiographic 12-month prospective study . Int J Periodontics Restorative Dent . 2003;23:313–323
- . The immediate implant: bone preservation and bone regeneration . Int J Periodontics Restorative Dent . 1992;12:206–217
- . Single-tooth replacement by immediate implant and connective tissue graft: a 1-9-year clinical evaluation . Clin Oral Implants Res . 2004;15:269–277
- . Immediate implant surgery: three-year retrospective evaluation of 50 consecutive cases . Int J Oral Maxillofac Implants . 1993;8:388–399
- . Immediate versus non-immediate implantation for full-arch fixed reconstruction following extraction of all residual teeth: a retrospective comparative study . J Periodontol . 2000;71:923–928
- . Autogenous bone grafting defects adjacent to implants placed into immediate extraction sockets in patients: a prospective study . Int J Oral Maxillofac Implants . 1994;9:389–396
- . Immediate implants: their current status . Int J Prosthodont . 1993;6:169–175
- . The ways and wherefores of immediate placement of implants into fresh extraction sites: a literature review . J Periodontol . 1997;68:915–923
- . Implants placed in immediate extraction sites: a report of histologic and histometric analyses of human biopsies . Int J Oral Maxillofac Implants . 1998;13:333–341
- . Evaluation of titanium implants placed into simulated extraction sockets: a study in dogs . Int J Oral Maxillofac Implants . 1999;14:351–360
- . Immediate one-stage postextraction implant: a human clinical and histologic case report . Int J Oral Maxillofac Implants . 2000;15:432–437
- Immediate implantation in fresh extraction sockets: a controlled clinical and histological study in man . J Periodontol . 2001;72:1560–1571
- . Bone healing following immediate versus delayed placement of titanium implants into extraction sockets: a prospective clinical study . Int J Oral Maxillofac Implants . 2003;18:189–199
- . Healing of surgically created circumferential gap around nonsubmergedtype implants in dogs: a histomorphometric study . Clin Oral Implants Res . 2007;18:171–178
- . Hard-tissue alterations following immediate implant placement in extraction sites . J Clin Periodontol . 2004;31:820–828
- . Modeling of the buccal and lingual bone walls of fresh extraction sites following implant installation . Clin Oral Implants Res . 2006;17:606–614
- . Resolution of bone defects of varying dimension and configuration in the marginal portion of the peri-implant bone: an experimental study in the dog . J Clin Periodontol . 2004;31:309–317
- The use of e-PTFE barrier membranes for bone promotion around titanium implants placed into extraction sockets: a prospective multicenter study . Int J Oral Maxillofac Implants . 1994;9:31–40
- . Healing of bone defects in combination with immediate implants using the membrane technique . Int J Oral Maxillofac Implants . 1995;10:421–428
- . Clinical coverage of dehiscence defects in immediate implant procedures: three surgical modalities to achieve primary soft tissue closure . Int J Oral Maxillofac Implants . 2000;15:843–852
- . Guided tissue regeneration for implants placed into extraction sockets: a study in dogs . J Periodontol . 1991;62:703–709
- . The jumping distance revisited: an experimental study in the dog . Clin Oral Implants Res . 2003;14:35–42
- . The influence of a bio-material on the closure of a marginal hard tissue defect adjacent to implants: an experimental study in the dog . Clin Oral Implants Res . 2004;15:285–292
- . A prospective clinical study of non-submerged immediate implants: clinical outcomes and esthetic results . Clin Oral Implants Res . 2007;18:552–562
- . A prospective clinical study of bone augmentation techniques at immediate implants . Clin Oral Implants Res . 2005;16:176–184
- . The use of a new allograft material for osseous reconstruction associated with dental implants . Implant Dent . 1998;7:205–212
- . A model to evaluate bone substitutes for immediate implant placement . Implant Dent . 2001;10:209–215
- . Immediate implant in extraction socket with acellular dermal matrix graft and bioactive glass: a case report . Implant Dent . 2002;11:343–348
- . A comparative evaluation of immediate dental implant with autogenous versus synthetic guided bone regeneration . Oral Surg Oral Med Oral Pathol Oral Radiol Endod . 2008;106:e8–15
- . Qualitative and quantitative comparative study on different filling materials used in bone tissue regeneration: a controlled clinical study . Int J Periodontics Restorative Dent . 1994;14:198–215
- . Guided tissue regeneration for implants placed into extraction sockets and for implant dehiscences: surgical techniques and case report . Int J Periodontics Restorative Dent . 1990;10:376–391
- . Bone grafting and guided bone regeneration for immediate dental implants in humans . J Periodontol . 1994;65:881–891
- . A comparative study of the effectiveness of e-PTFE membranes with and without early exposure during the healing period . Int J Periodontics Restorative Dent . 1994;14:166–180
- . Microbiologic and clinical study of poly-tetrafluoroethylene membranes for guided bone regeneration around implants . Int J Oral Maxillofac Implants . 1995;10:67–73
- . The role of early versus late removal of GTAM membranes on bone formation at oral implants placed into immediate extraction sockets. An experimental study in dogs . Clin Oral Implants Res . 1993;4:121–129
- . Immediate placement of implants into extraction sockets: implant survival . Int J Oral Maxillofac Implants . 1996;11:205–209
- . Immediate implant . Chin J Periodontol . 1997;2:87–92
- . Comparative study of buccal dehis-cence defects in immediate, delayed, and late maxillary implant placement with collagen membranes: clinical healing between placement and second-stage surgery . J Periodontol . 2002;73:754–761
- . Bucco-lingual crestal bone changes after immediate and delayed implant placement . J Periodontol . 2004;75:1605–1612
- . Resorbable versus nonre-sorbable membranes in combination with Bio-Oss for guided bone regeneration . Int J Oral Maxillofac Implants . 1997;12:844–852
- . Immediate loading of Branemark implants in edentulous mandibles: a preliminary report . Implant Dent . 1997;6:83–88
- . Ten-year results for Branemark implants immediately loaded with fixed prostheses at implant placement . Int J Oral Maxillofac Implants . 1997;12:495–503
- . Immediate loading of threaded implants at stage 1 surgery in edentulous arches: ten consecutive case reports with 1- to 5-year data . Int J Oral Maxillofac Implants . 1997;12:319–324
- . Immediate mandibular rehabilitation with endosseous implants: simultaneous extraction, implant placement, and loading . Int J Oral Maxillofac Implants . 2002;17:517–525
- . The influence of loading on peri-implant tissue . Chin J Periodontol . 2003;8:265–281
- . Immediate functional loading of Branemark dental implants. An 18-month clinical follow-up study . Clin Oral Implants Res . 1999;10:8–15
- . Immediate loading of implants in partially and fully edentulous jaws: a series of 27 case reports . J Periodontol . 2000;71:833–838
- . Implant-retained mandibular overdentures with Branemark System MKII implants: a prospective comparative study between delayed and immediate loading . Int J Oral Maxillofac Implants . 2001;16:537–546
- . Surgical complications of dental implants: diagnosis, management, and prevention . Chin J Periodontol . 2002;7:177–190
- . Immediate functional loading of Branemark single tooth implants. An 18 months' clinical pilot follow-up study . Clin Oral Implants Res . 2000;11:26–33
- . Immediate loading of single-tooth ITI implants in the anterior maxilla: a prospective 5-year pilot study . Clin Oral Implants Res . 2002;13:281–287
- . Immediate loading of single-tooth implants in the anterior maxilla. Preliminary results after one year . Clin Oral Implants Res . 2003;14:180–187
- . Immediate loading of single-tooth implants: immediate versus non-immediate implantation. A clinical report . Int J Oral Maxillofac Implants . 2001;16:267–272
- . Immediate placement and provisionalization of maxillary anterior single implants: 1-year prospective study . Int J Oral Maxillofac Implants . 2003;18:31–39
- . Immediate restoration of implants placed into fresh extraction sockets for single-tooth replacement: a prospective clinical study . Int J Periodontics Restorative Dent . 2005;25:439–447
- . Immediate functional and non-functional loading of dental implants: a 2- to 60-month follow-up study of 646 titanium implants . J Periodontol . 2003;74:225–241
- . Immediate and early function of Branemark System implants placed in the esthetic zone: a 1-year prospective clinical multicenter study . Clin Implant Dent Relat Res . 2003;5(Suppl 1):37–46
- . Outcome analysis of immediately placed, immediately restored implants in the esthetic area: the clinical relevance of different inter-implant distances . J Periodontol . 2008;79:1056–1061
- . Immediate function of Branemark implants in the esthetic zone: a retrospective clinical study with 6 months to 4 years of follow-up . Clin Implant Dent Relat Res . 2000;2:138–146
- Immediate occlusal loading of Branemark TiUnite implants placed predominantly in soft bone: 1-year results of a prospective clinical study . Clin Implant Dent Relat Res . 2003;5(Suppl 1):47–56
- . Immediate loading of Branemark System TiUnite and machined-surface implants in the posterior mandible: a randomized open-ended clinical trial . Clin Implant Dent Relat Res . 2003;5(Suppl 1):57–63
- . Esthetic outcomes of immediate implant placements . Clin Oral Implants Res . 2008;19:73–80
- . Bilaminar subepi-thelial connective tissue grafts for immediate implant placement and provisionalization in the esthetic zone . J Calif Dent Assoc . 2005;33:865–871
- . Reconstruction of the severely resorbed atrophic edentulous ridge of the maxilla and mandible for implant rehabilitation: report of a case . J Oral Implantol . 2002;28:128–132
- . Using distraction osteogenesis for repositioning the multiple dental implants-retained premaxilla with autogenous bone graft and keratinized palatal mucosa graft vestibuloplasty in a trauma patient: report of a case . J Oral Maxillofac Surg . 2006;64:794–798
- . Supracrestal ridge augmentation for dental implant . Chin J Periodontol . 1998;3:123–129
- . Ridge splitting for dental implant . Chin J Periodontol . 2000;5:129–135
- . Single stage surgery combining transmucosal implant placement with guided bone regeneration and bioresorbable materials . Clin Oral Implants Res . 2001;12:9–18
- . Clinical evaluation of immediate loaded upper anterior single implants . Implant Dent . 2005;14:94–103
- . Triple immediate therapy (ridge expansion, soft tissue augmentation, and provisional restoration) of maxillary anterior single implant . J Periodontol . 2007;78:1348–1353
PII: S1991-7902(09)60001-5
doi:10.1016/S1991-7902(09)60001-5
© 2009 Association for Dental Sciences of The Republic of China. Published by Elsevier Inc. All rights reserved.
