Abstract

This case series evaluated the facial gingival stability following immediate tooth replacement in conjunction with subepithelial connective tissue graft in the esthetic zone. Implant success rate and peri-implant tissue response were also reported.

Ten patients (6 males, 4 females), with a mean age of 52.1 (range = 22.7 to 67.1) years, underwent immediate implant placement and provisionalization with SCTG and were evaluated clinically and radiographically at pre-surgery (T0), immediately after immediate tooth replacement and SCTG (T1), 3-months (T2), 6-months (T3), and 12-months (T4) after surgery. Data was analyzed using the Wilcoxon Signed-Ranks Test and Friedman Test at the significance level of α = 0.05

At 1-year, 9 of 10 implants remained osseointegrated with the overall mean marginal bone change of -0.31 ± 0.34 mm and a mean facial gingival level change of 0.01 ± 0.48 mm. The modified Plaque Index scores showed that patients were able to maintain a good level of hygiene through out the study. The Papilla Index Score indicated that at T4, more than 50% of the papilla fill was observed in 89% of all sites.

When proper 3D implant position is achieved and bone graft is placed into the implant-socket gap, favorable success rate and peri-implant tissue response of platform switching implants can be achieved following immediate tooth replacement in conjunction with connective tissue graft.

LLU Discipline

Implant Dentistry

Department

Implant Dentistry

School

Graduate Studies

First Advisor

Joseph Y. K. Kan

Second Advisor

Jamie L. Lozada

Third Advisor

Kitichai Rungcharassaeng

Degree Name

Master of Science (MS)

Degree Level

M.S.

Year Degree Awarded

2010

Date (Title Page)

3-2010

Language

English

Library of Congress/MESH Subject Headings

Dental Implantation, Endosseous -- methods; Immediate Dental Implant Loading -- methods; Alveolar Ridge Augmentation; Alveolar Bone Loss; Epithelium -- transplantation; Connective Tissue -- transplantation; Guided Tissue Regeneration, Periodontal; Periodontal Index; Dental Plaque Index; Gingiva -- pathology; Dental Papilla; Dental Restoration Failure; Follow-Up Studies

Type

Thesis

Page Count

xi; 30

Digital Format

PDF

Digital Publisher

Loma Linda University Libraries

Usage Rights

This title appears here courtesy of the author, who has granted Loma Linda University a limited, non-exclusive right to make this publication available to the public. The author retains all other copyrights.

Collection

Loma Linda University Electronic Theses and Dissertations

Collection Website

http://scholarsrepository.llu.edu/etd/

Repository

Loma Linda University. Del E. Webb Memorial Library. University Archives

Download

Share

COinS