Unconventional Implant Placement IV. Implant Placement through Impacted Teeth to Avoid Invasive Surgery. Long-term Results of 3 Cases

Davarpanah, Mahdi; Szmukler‐Moncler, Serge; Davarpanah, Keyvan; Capelle-Ouadah, Nedjoua; Demurashvili, Georgy; Rajzbaum, Philippe

doi:10.2174/1874210601509010015

Cited by 13 publications

(12 citation statements)

References 23 publications

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“…The implant placement in contact with dental tissue was indicated in three clinical situations: impacted teeth 5 6 7 8 ; ankylosed teeth 9 10 ; and residual roots. 6…”

Section: Resultsmentioning

confidence: 99%

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Implants Placement in Contact with Dental Tissue: A Potential Paradigm Shift? Systematic Literature Review

et al. 2019

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The aim of this study was to explore the literature for clinical and histological data of an unconventional treatment with implants placement in contact with dental tissue (IPICDT) and to try to clarify its indications and surgical procedure particularities.Relevant publications published until May 2019 on the IPICDT were thoroughly reviewed. Search strategy was developed using a controlled vocabulary combination.Medline’s exploration and manual research identified 397 articles; 15 of these were selected after screening. IPICDT was indicated in three clinical situations: impacted teeth, ankylosed teeth, or residual roots. Clinical and radiological follow-up were satisfied except for implants placed in contact with (and not through) roots. Histological analysis revealed different mineralized tissues formed on the implant surface: cementum on removed implants in human and osteodentin on implants placed in contact with animal teeth dentin and pulp. These findings were described as new concept of implants’ “Mineral integration.”According to this study, the follow-up results of implants placed in contact with roots were controversial. Some implants were stable and others were either removed or kept and disinfected after root extraction because of bacterial infection. However, implants placed through ankylosed or impacted teeth were stable. These findings suggest that the clinicians have to be cautious when applying this unconventional approach. Further studies are recommended to explore its long follow-up. It is also interesting to explore this technique in cases of syndromic dental diseases with several impacted teeth (such as cleidocranial dysplasia; or amelogenesis imperfecta).

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“…The implant placement in contact with dental tissue was indicated in three clinical situations: impacted teeth 5 6 7 8 ; ankylosed teeth 9 10 ; and residual roots. 6…”

Section: Resultsmentioning

confidence: 99%

“…Transdental implants were also used in the cases of impacted teeth. 5 6 7 8 A total of 20 patients were treated with 32 implants placed through impacted canines and premolars. The follow-up was for a period ranging from 6 months to 8 years.…”

Section: Resultsmentioning

confidence: 99%

Implants Placement in Contact with Dental Tissue: A Potential Paradigm Shift? Systematic Literature Review

et al. 2019

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“…Today, recent studies suggested an implant placement protocol encroaching upon residual roots and impacted teeth. 19 20 This unconventional method has been proposed to assess minimal invasive surgical procedures in implant dentistry. However, future research needs to be investigated for this procedure.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of dental panoramic radiographic findings in edentulous jaws: A retrospective study of 743 patients "Radiographic features in edentulous jaws"

et al. 2015

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PURPOSEThe aim of this study was to determine the frequency of significant panoramic radiographic findings and eventual treatment requirements before conventional or implant supported prosthetic treatment in asymptomatic edentulous patients.MATERIALS AND METHODSA total of 743 asymptomatic edentulous patients were retrospectively evaluated using a digital panoramic system. We analyzed the radiographic findings, including impacted teeth, retained root fragments, foreign bodies, severe atrophy of the posterior maxillary alveolar bone, mucous retention cysts, soft tissue calcifications and radiopaque-radiolucent conditions.RESULTSFour-hundred-eighty-seven (65.6%) patients had no radiographic finding. A total of 331 radiographic findings were detected in 256 (34%) patients. In 52.9% (n=175) of these conditions, surgical treatment was required before application of implant-supported fixed prosthesis. However, before application of conventional removable prosthesis surgical treatment was required for 6% (n=20) of these conditions.CONCLUSIONThe edentulous patients who will have implant placement for implant-supported fixed prosthesis can frequently require additional surgical procedures to eliminate pathological conditions.

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“…For example, when the adjacent area is available for implant placement, such as edentulous maxillae with impacted canines, a computerized three-dimensional planning system can be used to place implants that avoid contact with the impacted canine [ 25 ]. In addition, a series of cases among the literature in which implants were placed through the impacted teeth led to an adequate cicatrization [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

Immediate Post-Extraction Short Implant Placement with Immediate Loading and without Extraction of an Impacted Maxillary Canine: Two Case Reports

et al. 2021

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For the treatment of impacted maxillary canines, traction associated with a complete orthodontic treatment is the first choice in young patients. However, in adults, this treatment has a worse prognosis. The surgical extraction of the impacted tooth can result in a series of complications and a compromised alveolar bone integrity, which may lead to the requirement of a bone regeneration/grafting procedure to replace the canine with a dental implant. These case reports aimed to describe an alternative treatment procedure to the surgical extraction of impacted maxillary canines in adults. Following clinical and computerized tomography-scan (CT-Scan) examination, the possibility of maintaining the impacted canine in its position and replacing the temporary canine present in its place with a dental implant was planned. A short dental implant with an immediate provisional crown was placed, without contacting the impacted canine. At 3 months follow-up, a definitive metal-ceramic restoration was placed. Follow-up visits were performed periodically. The implant site showed a physiological soft tissue color and firmness, no marginal bone loss, no infection or inflammation, and an adequate aesthetic result in all follow-up visits. These results suggest that the treatment carried out is a valid option to rehabilitate with an osseointegrated short implant area where a canine is included, as long as there is a sufficient amount of the remaining bone.

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Unconventional Implant Placement IV. Implant Placement through Impacted Teeth to Avoid Invasive Surgery. Long-term Results of 3 Cases

Cited by 13 publications

References 23 publications

Implants Placement in Contact with Dental Tissue: A Potential Paradigm Shift? Systematic Literature Review

Implants Placement in Contact with Dental Tissue: A Potential Paradigm Shift? Systematic Literature Review

Evaluation of dental panoramic radiographic findings in edentulous jaws: A retrospective study of 743 patients "Radiographic features in edentulous jaws"

Immediate Post-Extraction Short Implant Placement with Immediate Loading and without Extraction of an Impacted Maxillary Canine: Two Case Reports

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