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Implant Therapy In The Esthetic Zone-Surgical Considerations

Balkan Journal of Dental MedicineJuly 6, 2016October 11, 2022

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Prof. Aleksa Marković1 / T. Mišić2

1Clinic of Oral Surgery, School of Dentistry, University of Belgrade, Dr Subotica 4, 11 000 Belgrade, Serbia, Tel: +381 11 2685860, Fax: +381 11 2685268
2Oral Surgery Clinic, School of Dental Medicine, University of Belgrade

Summary

Implant placement in the esthetic zone is a complex procedure and requires a restoration-driven approach. Proper selection of patients and implant together with individual assessment of the risk of esthetic complications are very important. Correct 3D-implant positioning and sufficient bone volume should provide long-term esthetic and function. Esthetic region is a zone in which expectations and possibilities collide. Clinician should bring the important decision on the appropriate time of implant placement. Immediate implant placement is particularly challenging in the esthetic zone. Patient desire for reduced treatment time should be weighed against the possible risk factors. Protocol of immediate implant placement in conditions of unfavourable gingival biotypes, the lack of bone or soft tissue in patients with a high smile line lead to esthetic failure which is very important in the esthetic region.

Keywords: 3D-implant positioning; esthetic region; immediate implant placement

References

  1. Buser D, Belser U, Wismcijer D. Implant Therapy in the Esthetic Zone – Single Tooth Replacements. Berlin; London: Quintessence, 2007.
  2. Chen S. Buser D. Implant Placement in Post-Extraction Sites – Treatment Options. Berlin; London: Quintessence, 2008.
  3. Wismeijer D, Chen S, Buser D. Extended Edentulous Spaces in the Anterior Zone. Berlin; London: Quintessence, 2013.
  4. Turri A, Rossetti PH, Canullo L, Grusovin MG, Dahlin C. Prevalence of Peri-implantitis in Medically Compromised Patients and Smokers: A Systematic Review. Int J Oral Maxillofac Implants, 2016;31:111-118.
  5. Bornstein MM, Cionca N, Mombelli A. Systemic conditions and treatments as risks for implant therapy. Int I Oral Maxillofac Implants, 2009;24:12-27.
  6. Gomez-Moreno G, Aguilar-Salvatierra A, Pemandez-Cejas E, Delgado-Ruiz RA, Markovic A, Calvo- Guirado JL. Dental implant surgery in patients in treatment with the anticoagulant oral rivaroxaban. Clin Oral Implants Res, 2016;27:730-733.
  7. Cochran D, Schou S, Heitz-Mayfield LJ, Bornstein MM, Salvi GE, Martin WC. Consensus statements and recommended clinical procedures regarding risk factors in implant therapy. Int J Oral Maxillofac Implants, 2009;24:86-89.
  8. Zhou Y, Gao J, Luo L, Wang Y. Does Bruxism Contribute to Dental Implant Failure? A Systematic Review and Meta- Analysis. Clin Implant Dent Relat Res, 2016;18:4104-20. [Crossref]
  9. Boardman N, Darby I, Chen S. A retrospective evaluation of aesthetic outcomes for Single-tooth implants in the anterior maxilla. Clin Oral Implants Res, 2016;27:443-451. [Web of Science]
  10. Chen ST, Buser D. Clinical and esthetic outcomes of implants placed in postcxtracnon sites. Int J Oral Maxillofac Implants, 2009;24:186-217.
  11. Gehrke SA, Perez-Albacete Martinez C, Piattelli A, Shibli A, Markovic A, Calvo Guirado L. The influence of three different apical implant designs at stability and osseointegration process: experimental study in rabbits. Clin Oral Implants Res, 2016 Mar. DOI: 10.1111/clr.12807. [Crossref]
  12. Markovic A, Calvo-Guirado L, Lazic Z, Gomez-Moreno G, Calasan D, Guardia J, et al. Evaluation of primary stability of self-tapping and non-self-tapping dental implants. Atz-week clinical study. Clin Implant Dent Relat Res, 2013;15:341-349. [Crossref]
  13. Wallkamm B, Ciocco M, Ettlin D, Syfrig B, Abbott W, Listrom R, et al. Three-year outcomes of Straumann Bone Level SL Active dental implants in daily dental practice: a prospective non- interventional study. Quintessence Int, 2015;46:591-602. [Web of Science]
  14. Delgado-Ruiz RA, Gomez Moreno G, Aguilar-Salvatierra A, Markovic A, Mate-Sanchez JE, Calvo-Guirado JL. Human fetal osteoblast behavior of zirconia dental implants and zirconia disks with microstructured surfaces. An experimental in vitro study. Clin Oral Implants Res, 2015 Mar 25. DOI: 10.1111/clr.12585. [Crossref]
  15. Delgado-Ruiz RA, Markovic A, Calvo-Guirado JL, Lazic Z, Plattelli A, Boticelli D, et al. Implant stability and marginal bone level of microgrooved zirconia dental implants: A 3-month experimental study on dogs. Vojnosanit Pregl, 2014:451-461. [Crossref] [Web of Science]
  16. Chen S. Buser D, Wismeijer D. Ridge Augmentation Procedures in Implant Patients – A Staged Approach. Berlin; London: Quintessence, 2014.
Citation Information: Balkan Journal of Dental Medicine. Volume 20, Issue 2, Pages 83–88, ISSN (Online) 2335-0245, DOI: https://doi.org/10.1515/bjdm-2016-0013, July 2016
3D-implant positioning, A. Marković, esthetic region, immediate implant placement, T. Mišić

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