Restoring Function and Enhancing Esthetics with Immediate Anterior Implant Placement and Full Mouth Rehabilitation: A Case Report
Saeed M Alqahtani
Early loaded, Immediate implant, SLActive Straumann implant
Citation Information :
Alqahtani SM. Restoring Function and Enhancing Esthetics with Immediate Anterior Implant Placement and Full Mouth Rehabilitation: A Case Report. World J Dent 2022; 13 (5):534-539.
Aim and objective: This case report represents the clinical treatment plan and radiographic outcome treated with early loaded SLActive surface Straumann implants in fresh extraction sockets in the maxillary and mandibular jaws.
Background: Endosseous dental implants have revolutionized the way clinicians address edentulous or partially edentulous patients. Traditional implant procedures require a several-month healing interval following tooth extraction and an unloading healing period before restoration.
Case description: A 68-year-old patient reported to our clinic with the complaint of replacing missing teeth. On examining the oral cavity and planning treatment protocol, immediate early loaded implants were initiated. The eight remaining anterior maxillary and mandibular teeth were extracted, an additional four maxillary and two mandibular implants were placed. A full mouth rehabilitation was planned with the patient. The treatment followed atraumatic extraction of anterior teeth and SLActive Straumann's immediate implant placement in the extraction socket. The prosthetic rehabilitation was done with a porcelain fused to metal crowns, and occlusion was checked. The patient was recalled for follow-up at week, month, 3 months, with no gingival tissue abnormalities were found.
Conclusion: Immediate implant placement is a breakthrough in modern dentistry, which is beneficial to the patient as it reduces the treatment time and number of surgeries. The SLActive Straumann implant has accelerated bone healing and soft-tissue preservation. As a result, immediate implant treatment is one of the ideal procedures for preserving the patient's esthetic requirements.
Clinical significance: The implant placement immediately after extraction has become a treatment of choice for patients as it preserves esthetics, reduces surgeries, and proven to be helpful in bone healing and soft-tissue preservation.
Adell R, Lekholm U, Rockler B, et al. A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. Int J Oral Surg 1981;10(6):387–416. DOI: 10.1016/s0300-9785(81)80077-4
Buser D, Mericske-Stern R, Bernard JP, et al. Long-term evaluation of non-submerged ITI implants. Part 1: 8-year life table analysis of a prospective multi-center study with 2359 implants. Clin Oral Implants Res 1997;8(3):161–172. DOI: 10.1034/j.1600-0501.1997.080302.x
Adell R, Eriksson B, Lekholm U, et al. Long-term follow-up study of osseointegrated implants in the treatment of totally edentulous jaws. Int J Oral Maxillofac Implants 1990;5(4):347–359.
Jemt T, Linden B, Lekholm U. Failures and complications in 127 consecutively placed fixed partial prostheses supported by Branemark implants: from prosthetic treatment to first annual checkup. Int J Oral Maxillofac Implants 1992;7(1):40–44.
Jemt T, Lekholm U, Grondahl K. 3-year follow-up study of early single implant restorations ad modum Branemark. Int J Periodontics Restorative Dent 1990;10(5):340–349.
Scheller H, Urgell JP, Kultje C, et al. A 5-year multicenter study on implant-supported single crown restorations. Int J Oral Maxillofac Implants 1998;13(2):212–218.
Buser D, Belser UC, Lang NP. The original one-stage dental implant system and its clinical application. Periodontol 2000 1998;17:106–118. DOI: 10.1111/j.1600-0757.1998.tb00128.x
Nkenke E, Lehner B, Weinzierl K, et al. Bone contact, growth, and density around immediately loaded implants in the mandible of mini pigs. Clin Oral Implants Res 2003;14(3):312–321. DOI: 10.1034/j.1600-0501.2003.120906.x
Gapski R, Wang HL, Mascarenhas P, et al. Critical review of immediate implant loading. Clin Oral Implants Res 2003;14(5):515–527. DOI: 10.1034/j.1600-0501.2003.00950.x
Morton D, Jaffin R, Weber HP. Immediate restoration and loading of dental implants: clinical considerations and protocols. Int J Oral Maxillofac Implants 2004;19 Suppl:103–108.
Esposito M, Grusovin MG, Felice P, et al. Interventions for replacing missing teeth: horizontal and vertical bone augmentation techniques for dental implant treatment. Cochrane Database Syst Rev 2009 2009(4):CD003607. DOI: 10.1002/14651858.cd003607.pub3
Quirynen M, Van Assche N, Botticelli D. How does the timing of implant placement to extraction affect outcome? Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet]; 2007.
Akkocaoglu M, Uysal S, Tekdemir I, et al. Implant design and intraosseous stability of immediately placed implants: a human cadaver study. Clin Oral Implants Res 2005;16(2):202–209. DOI: 10.1111/j.1600-0501.2004.01099.x
Nordin T, Graf J, Frykholm A, et al. Early functional loading of sand-blasted and acid-etched (SLA) Straumann implants following immediate placement in maxillary extraction sockets. Clinical and radiographic result. Clin Oral Implants Res 2007;18(4):441–451.
Ross SE, Strauss T, Crossetti HW, et al. The immediate placement of an endosseous implant into an extraction wound: a clinical case report using the RosTR System. Int J Periodontics Restorative Dent 1989;9(1):34–41.
Jokstad A, Carr AB. What is the effect on outcomes of time-to-loading of a fixed or removable prosthesis placed on implant(s)? Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet]; 2007.
Oates TW, Valderrama P, Bischof M, et al. Enhanced implant stability with a chemically modified SLA surface: a randomized pilot study. Int J Oral Maxillofac Implants 2007;22(5):755–760.
Muhammad A-H, Abdulgani A, Bajali M, et al. The mandibular two-implant overdenture. J Dent Allied Sci 2014;3(1):58. DOI: 10.4103/2277-4696.156537
Schoenbaum TR. Abutment emergence profile and its effect on peri-implant tissues. Compend Contin Educ Dent 2015;36(7):474–479.
Chang SW, Shin SY, Hong JR, et al. Immediate implant placement into infected and noninfected extraction sockets: a pilot study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;107(2):197–203. DOI: 10.1016/j.tripleo.2008.06.003
Parpaiola A, Sbricoli L, Guazzo R, et al. Managing the peri-implant mucosa: a clinically reliable method for optimizing soft-tissue contours and emergence profile. J Esthet Restor Dent 2013;25(5):317–323. DOI: 10.1111/jerd.12046
Buser D, Chappuis V, Belser UC, et al. Implant placement post extraction in esthetic single tooth sites: when immediate, when early, when late? Periodontology 2000 2017;73(1):84–102.
Belser UC, Grütter L, Vailati F, et al. Outcome evaluation of early placed maxillary anterior single-tooth implants using objective esthetic criteria: a cross-sectional, retrospective study in 45 patients with a 2–4 year follow-up using pink and white esthetic scores. J Periodontol 2009;80(1):140–151. DOI: 10.1902/jop.2009.080435
Bashutski JD, Wang HL, Rudek I, et al. Effect of flapless surgery on single-tooth implants in the esthetic zone: a randomized clinical trial. J Periodontol 2013;84(12):1747–1754. DOI: 10.1902/jop.2013.120575
Poskevicius L, Sidlauskas A, Galindo-Moreno P, et al. Dimensional soft-tissue changes following soft-tissue grafting in conjunction with implant placement or around present dental implants: a systematic review. Clin Oral Implants Res 2017;28(1):1–8. DOI: 10.1111/clr.12606
Rosa AC, da Rosa JC, Dias Pereira LA, et al. Guidelines for selecting the implant diameter during immediate implant placement of a fresh extraction socket: a case series. Int J Periodontics Restorative Dent 2016;36(3):401–407. DOI: 10.11607/prd.2381
Kan JY, Roe P, Rungcharassaeng K, et al. Classification of sagittal root position in relation to the anterior maxillary osseous housing for immediate implant placement: a cone beam computed tomography study. Int J Oral Maxillofac Implants 2011;26(4):873–876.
Bassir SH, El Kholy K, Chen CY, et al. Outcome of early dental implant placement versus other dental implant placement protocols: a systematic review and meta-analysis. J Periodontol 2019;90(5): 493–506. DOI: 10.1002/JPER.18-0338
Bhola M, Jacobs LC, Kolhatkar S. Immediate implants for aesthetic success: new guidelines. J Int Clin Dent Res Org 2015;7(3):138. DOI: 10.4103/2231-0754.172942
Schrott A, Riggi-Heiniger M, Maruo K, et al. Implant loading protocols for partially edentulous patients with extended edentulous sites–a systematic review and meta-analysis. Int J Oral Maxillofac Implants 2014;29 Suppl:239–255. DOI: 10.11607/jomi.2014suppl.g4.2