Alveolar Bone Remodeling Around Immediate Implants Placed in Accordance With the Extraction Socket Classification: A Three‐Dimensional Microcomputed Tomography Analysis

Abstract

Buccal bone remodeling is significantly more extensive around immediate implants placed in multiple contiguous tooth extraction sites compared to immediate implants placed in single tooth extraction sites.

Microcomputed Tomographic Analysis of the Alveolar Ridge Alteration around Extraction Sites with and without Immediate Implants Placement: In Vivo Study

“…The present results support a recent canine study 6 which showed that the alveolar bone thickness is significantly compromised in multiple contiguous teeth extraction sites (ESC‐III, as in the present study) as compared with single‐tooth extraction sites. Under such circumstances, initial bone augmentation followed by delayed placement of dental implants may be recommended for more predictable outcomes.…”

“…From the current study, immediate implant placement may have predictable outcomes in ESC‐I and ESC‐II as compared with ESC‐III where significant bone remodeling occurred. However, it is also evident that simultaneous guided bone regeneration could be recommended in ESC‐I and ESC‐II due to the presence of small amount of bone thickness after 4 months of healing provided that the immediate implants were not loaded 3–6,14 …”

“…Tooth extraction is a traumatic procedure that jeopardizes the surrounding alveolar bone and soft tissues. Healing of the extraction socket involves several biochemical and histologic events that may alter alveolar bone architecture 1–6 . It is known that by the fourth week of extraction, the extraction socket fills with bundle bone (an immature bone that is supplied entirely and solely by ligaments and tendons) 3–5 .…”

Bone morphology changes around two types of bone‐level implants installed in fresh extraction sockets – a histomorphometric study in Beagle dogs

“…Al‐Shabeeb et al. () reported that crestal bone remodeling is significantly more extensive around immediate implants placed in multiple tooth extraction sites compared with immediate implants placed in single tooth extraction sites. Emphasizing the importance of interdental blood supply to the buccal alveolar bone crest, this blood supply will be diminished in case of multiple contagious teeth extractions.…”

Tissue Healing Around Dental Implants With Marginal Bone Defects With and Without Flap Elevation: An Experimental Study in Dogs

“…Furthermore there was a trend of more giant cells and less osteoblasts in flap compared to non-flap 33 Al-Shabeeb et al found buccal bone remodeling is more extensive around implants placed in adjacent tooth extraction sites compared to implants placed in single extraction sites. 34 In addition to the alveolar ridge changes that occur upon immediate implant placement into an extraction socket, the peri-implant soft tissue healing has to be considered. 35 The soft tissue attachment around implants "peri-implant biological width" has been acknowledged as a constant dimension with a mean JE of 2.1mm and a connective component of 1.8.…”