TITLE:
Aesthetic gingival management: Preservation of the anatomical structures and the gingival aesthetics by immediate implant-insertion after loss of anterior teeth and premolars—Results of a 5-year prospective study with 348 inserted one-phase implants
AUTHORS:
Angelo Troedhan, Izabela Schlichting, Andreas Kurrek
KEYWORDS:
Oral Implantology; Single Phase Implants; Immediate Implant Insertion; Gingival Aesthetics
JOURNAL NAME:
Open Journal of Stomatology,
Vol.3 No.2,
May
28,
2013
ABSTRACT:
Implant insertion is an alternative to classical
treatment with bridges after tooth extraction or traumatic tooth loss in the anterior and premolar region of the
upper and lower jaw. Nevertheless both types of prosthetic treatment inhere
major gingival aesthetic pitfalls by physiological vertical and
horizontal resorption. Aim of the study was to investigate if the
immediate insertion of root analogue single-stage implants and prosthetic treatment
could prevent gingival recessions and bone resorption thus keeping the natural gingival aesthetics untouched. Between 2003 and 2006, 348 root analogue
Q1-Implants (TRINON Karlsruhe GmbH/Germany) were inserted in 342 patients’s
premolar and molar regions immediately after tooth extraction or traumatic
tooth loss and treated with
provisional resin crowns. The observation period with recurring 6-month clinical and radiographic check-ups was a minimum of 5
years. Of 348 inserted implants 4 (1.15%) were lost resulting in an overall
success rate of 98.85%. In the first 12 weeks after surgery a mean recession of
the buccal gingival margin of 0.2 mm (SD 0.34) could be detected, after final
prosthetic treatment an overall mean recession of 0.2 mm (SD 0.13) within
the survey period. Immediate implant insertion of root analogue single stage
implants and immediate prosthetic
treatment with provisional resin crowns after minimal invasive tooth
extraction seems to be appropriate to prevent bone resorptions of the buccal alveolar
crest and the recessions of the
gingiva and papillae and
thus suggests to be the
preferable treatment to keep the natural gingival and papillary aesthetics
untouched preventing further traumatic surgical gingival reconstructions.