The Results of Immediate Post-Extraction Implant Placement With Immediate Loading Procedure and the Substantiation of Its Protocol by Mathematical Modeling

Bunev, А.А.; Мураев, А. А.; Gazhva, Yu.V.; Muhametshin, R.F.; Ivanov, S. Yu.; Тетерин, А И; Penina, Ya.S.; Starostin, P V

doi:10.26787/nydha-2226-7425-2018-20-9-62-69

Cited by 4 publications

(2 citation statements)

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“…(4) The submarginal location of the implant (immersion of the implant 0.5 mm below the bone edge of the socket); (5) Initial stabilization of the implant; (6) Absence of contact of the precervical part of the implant with the wall of the socket, especially the vestibular bone wall; (7) Filling with a blood clot (at least) or with an osseous complexion (but not with a fibro-osseous material!) the gap between the socket wall and the implant surface; (8) Convergence of soft tissue edges around the gum or temporal crown (immediate non-functional load).…”

Section: Implantation Protocolsmentioning

confidence: 99%

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A randomized retrospective clinical study on the choice between endodontic surgery and immediate implantation

Movsesyan¹,

Margaryan

Arakelyan

et al. 2022

Frigid Zone Medicine

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Background Periapical endodontic surgery (PES) for root amputation and tooth replacement by immediate implant placement are two possible treatment options for bone lesions in the root apex of a tooth that has previously undergone endodontic treatment. Treatment methods are performed when the effectiveness of orthograde canal revision is questionable or when such treatment cannot be performed. The effectiveness of these methods varies from study to study. Objective clinical evaluation of the efficacy of periapical endodontic surgery for root amputation and immediate implant placement with simultaneous tooth extraction in the proximate and long-term treatment. Materials and methods The study included 183 patients between the ages of 24 and 63. Patients were divided into 2 groups; group I - endodontic surgery was performed to resect the apex of the tooth root (108 patients) and group II - an operation to install an implant with simultaneous tooth extraction (75 patients). In group I, in 36 cases, PES was performed in the area of the first molars and premolars, and 72 cases in the area of incisors and canines. In group II, 75 patients received 231 implants. Results In all 108 patients of group I in the postoperative period and within 1 month, the wounds healed without complications. In none of the 36 operated premolars and molars, there was no definitive elimination of the radiographic bone loss (Rude grade 2 and 3) after 12 months. In the area of incisors and canines, complete healing was observed only in 37.5% of cases (I class according to Rud). In group II, out of 184 implants installed immediately after tooth extraction, one was removed one month after implantation. In other cases, all implants were successfully integrated with the subsequent fabrication of prosthetic construction. Conclusion The complex “implant (installed in the socket of the tooth immediately after its removal) - bone - soft tissues - prosthetic construction” is stable over time in terms of functional and aesthetic parameters, preservation of bone tissue, and mucous membrane.

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Section: Implantation Protocolsmentioning

confidence: 99%

“…As a result, immediate dental implantation has significantly displaced PESs, especially in the premolar and molar areas. Doctors prefer to remove the tooth and immediately install the implant in the socket of the extracted tooth [5][6][7][8][9] .…”

Section: Introductionmentioning

confidence: 99%

A randomized retrospective clinical study on the choice between endodontic surgery and immediate implantation

Movsesyan¹,

Margaryan

Arakelyan

et al. 2022

Frigid Zone Medicine

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Study by the Method of Elektronic Paramagnetic Resonance of the Infuence of Physics-Chemical and Structural Characteristics of Bone Tissue on the Processes of Osseointegration of Dental Implants With Different Microstructure of the Surface

Chelyshev

Grishin

Savranskiy³

et al. 2021

Actual Problems in Dentistry

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Aim. Study by the method of electronic paramagnetic resonance (EPR) physical- chemical and structural features of bone tissue and their effect on the processes of osseointegration during dental implantation using implants with different macro-microstructure of the surface. Material and methods. The experimental study was conducted on 7 Vietnamese visobryu-pig mini-pigs. Under anesthesia, implants with different macro-microstructures of the surface (SLA, RBM, ) were installed under the methods of direct and delayed implantation. At different dates of the experiment, after the appropriate anesthesia, the gentle method was to remove implants with small fragments of periemplant bone tissue. Macro-drugs of bone tissue of the jaws after sawing on blocks and extraction of implants, as well as appropriate preparation, were investigated by the method of stationary electronic paramagnetic resonance. Results. As a result of the study it was revealed that the insertation of the implant into the jaw bone leads to structural changes in the surrounding bone implant. After prior exposure, the EPR spectrums, caused by different types of paramagnetic centers, were observed in the samples studied. Two types of centers, , have been identified. and F is the center. The spectrum of the second type reflects the presence in hydroxiapatites of lattice defects associated with isomorphism, and, . The findings suggest that one of the reasons for the higher content of free radicals (SR) in bone tissue derived from radiation, after dental implantation is the weakening of chemical bonds, greater mobility of fragments that make up its structure. It must be assumed that the high content of SR in the bone in the postoperative period is nothing but a result of the disruption of the mineralization process, which is accompanied by the replacement of phosphate groups with carbonate ions that are free-radicalized. It has also been revealed that the structural integrity of the bone depends to a large extent on the degree of orderliness of microcrystals of hydroxyapatite. According to EPR, the most favorable bone recovery (the process of osseointegration) occurs when using implants with a surface, . Conclusions. EPR research of native and carbonate radicals is a unique tool for studying the physical and chemical and structural features of bone tissue and their role in the process of osseointegration of implants. The speed of osseointegration for implants with different microstructures of the surface varies. EPR can be used as an additional method to control the integration of implants into bone tissue.

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Clinical Studies of the Stability and Process of Osteointegration of Dental Implants During Immediate and Delayed Implantation

Grishin

Kalinnikova

2021

Actual Problems in Dentistry

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Subject. Analysis of the literature confirms that there is a definite relationship between surface microstructure, implant geometry, thread design and primary stability, and osseointegration processes. To date, a sufficient number of works on direct and delayed implantation have accumulated. However, there is not enough convincing clinical data on the quantitative assessment of primary stability at different periods of the osseointegration process. Despite the existence of experimental and clinical observations, it seems impossible to make a definite judgment about the mechanism of such a relationship. This chapter presents clinical studies of the stability and osseointegration of dental implants when performing, according to the indications, in 414 patients of direct and delayed implantation using implant systems with different surface microstructures. Goal. Conduct clinical studies of quantitative indicators of stability and osseointegration of implants with different microstructure of the surface during direct and delayed implantation. Methodology. For the clinical study of primary stability and the process of osseointegration during direct and delayed implantation with immediate functional loading, implant systems with different surface microstructures were used: Alfa Bio, Mis, Astra-Tech, Dentium, Ostem, Antogher, and also Humana Dental with an innovative surface. Osseointegrated implants have been used to achieve a predictable treatment outcome in clinical cases with partial or complete adentia, as well as in the presence of single, included defects. Results. There were no significant differences in stability indicators at the time of implant placement in the alveolar bone, depending on the type of implant and the method of implantation. Conclusions. In the process of integration of the implant into the bone tissue at a later date, the indicators of stability and osseointegration improve. The relationship between the appearance of the implant surface, primary stability and the time of its adaptation was revealed.

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The Results of Immediate Post-Extraction Implant Placement With Immediate Loading Procedure and the Substantiation of Its Protocol by Mathematical Modeling

Cited by 4 publications

References 0 publications

A randomized retrospective clinical study on the choice between endodontic surgery and immediate implantation

A randomized retrospective clinical study on the choice between endodontic surgery and immediate implantation

Study by the Method of Elektronic Paramagnetic Resonance of the Infuence of Physics-Chemical and Structural Characteristics of Bone Tissue on the Processes of Osseointegration of Dental Implants With Different Microstructure of the Surface

Clinical Studies of the Stability and Process of Osteointegration of Dental Implants During Immediate and Delayed Implantation

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