[en] This study aimed to describe a case of simultaneous guided bone regeneration (GBR) and implant placement in a patient with prior aesthetic implant failure, focusing on achieving optimal aesthetic and functional outcomes, and to perform a literature review of the current evidence. A 38-year-old male presented with an improperly positioned implant at the level of the right upper central (tooth 2.1), leading to aesthetic and functional issues. The initial assessment included a panoramic radiograph revealing marginal bone loss and an enlarged peri-implant space, necessitating implant removal. Following implant removal and provisional restoration, the patient was re-evaluated for subsequent therapeutic treatments. The patient underwent orthodontic treatment to improve mesio-distal spacing, followed by surgical intervention involving GBR and simultaneous implant placement. The GBR procedure utilised bone substitutes and resorbable membranes, with soft tissue augmentation conducted subsequently. The surgical intervention involved local anaesthesia, flap design, defect assessment, and palatally oriented implant placement. GBR was then performed. After six months, implant uncovering and soft tissue augmentation were conducted. The implant was loaded with a screwed restoration following complete hard and soft tissue healing. The patient was monitored every six months for two years, then annually. At the 10-year follow-up, no signs of bone resorption or soft tissue inflammation were observed. This case demonstrated that GBR and simultaneous implant placement, with the application of advanced biomaterials, effectively promoted osseointegration and maintained aesthetic and functional stability over a decade.
Disciplines :
Dentistry & oral medicine
Author, co-author :
Izzetti, Rossana ; Department of Surgical, Medical, Molecular Pathology and of the Critical Area, University of Pisa, 56126 Pisa, Italy
Cinquini, Chiara ; Université de Liège - ULiège > Dental biomaterials research unit (d-BRU) ; Department of Surgical, Medical, Molecular Pathology and of the Critical Area, University of Pisa, 56126 Pisa, Italy
Alfonsi, Fortunato; Department of Surgical, Medical, Molecular Pathology and of the Critical Area, University of Pisa, 56126 Pisa, Italy
Nisi, Marco; Department of Surgical, Medical, Molecular Pathology and of the Critical Area, University of Pisa, 56126 Pisa, Italy
Covelli, Michele; Department of Medicine and Surgery, LUM University, 70010 Bari, Italy
Garcia Mira, Berta ; Department of Stomatology, University of Valencia, 46010 Valencia, Spain
Priami, Mattia ; Department of Surgical, Medical, Molecular Pathology and of the Critical Area, University of Pisa, 56126 Pisa, Italy
Barone, Antonio ; Department of Surgical, Medical, Molecular Pathology and of the Critical Area, University of Pisa, 56126 Pisa, Italy
Language :
English
Title :
Horizontal Bone Augmentation with Simultaneous Implant Placement in the Aesthetic Region: A Case Report and Review of the Current Evidence.
Buser D. Chappuis V. Kuchler U. Bornstein M.M. Wittneben J.G. Buser R. Cavusoglu Y. Belser U.C. Long-term stability of early implant placement with contour augmentation J. Dent. Res. 2013 92 176S 182S 10.1177/0022034513504949 24158332
Urban I.A. Nagursky H. Lozada J.L. Nagy K. Horizontal ridge augmentation with a collagen membrane and a combination of particulated autogenous bone and anorganic bovine bone–derived mineral: A prospective case series in 25 patients Int. J. Periodontics Restor. Dent. 2013 33 299 307 10.11607/prd.1407 23593623
Esposito M. Grusovin M.G. Kwan S. Worthington H.V. Coulthard P. Interventions for replacing missing teeth: Bone augmentation techniques for dental implant treatment Cochrane Database of Systematic Reviews Esposito M. John Wiley & Sons, Ltd. Hoboken, NJ, USA 2008
Wilson T.G. Buser D. Advances in the use of guided tissue regeneration for localized ridge augmentation in combination with dental implants Tex. Dent. J. 1994 111 7 10 8633300
Parisi L. Buser D. Chappuis V. Asparuhova M.B. Cellular responses to deproteinized bovine bone mineral biofunctionalized with bone-conditioned medium Clin. Oral Investig. 2021 25 2159 2173 10.1007/s00784-020-03528-6
Mizraji G. Davidzohn A. Gursoy M. Gursoy U.K. Shapira L. Wilensky A. Membrane barriers for guided bone regeneration: An overview of available biomaterials Periodontology 2000 2023 93 56 76 10.1111/prd.12502
Buser D. Halbritter S. Hart C. Bornstein M.M. Grütter L. Chappuis V. Belser U.C. Early implant placement with simultaneous guided bone regeneration following single-tooth extraction in the esthetic zone: 12-month results of a prospective study with 20 consecutive patients J. Periodontol. 2009 80 152 162 10.1902/jop.2009.080360
Gao Y. Gao S. Yao Y. Cai X. Hard tissue stability outside the buccal bone arch contour after guided bone regeneration in the anterior maxilla: A retrospective cohort radiographic study Clin. Oral Implants Res. 2023 34 1373 1384 10.1111/clr.14181
Urban I. Montero E. Sanz-Sánchez I. Palombo D. Monje A. Tommasato G. Chiapasco M. Minimal invasiveness in vertical ridge augmentation Periodontology 2000 2023 91 126 144 10.1111/prd.12479
Qian S. Pu Y. Zhang X. Wu X.Y. Liu B.L. Lai H.C. Shi J.Y. Clinical, radiographic, and esthetic evaluation of immediate implant placement with buccal bone dehiscence in the anterior maxilla: A 1-year prospective case series Clin. Implant Dent. Relat. Res. 2023 25 3 10 10.1111/cid.13154
Renvert S. Persson G.R. Pirih F.Q. Camargo P.M. Peri-implant health, peri-implant mucositis, and peri-implantitis: Case definitions and diagnostic considerations J. Clin. Periodontol. 2018 45 S278 S285 10.1111/jcpe.12956
Cucchi A. Chierico A. Fontana F. Mazzocco F. Cinquegrana C. Belleggia F. Rossetti P. Soardi C.M. Todisco M. Luongo R. et al. Statements and recommendations for guided bone regeneration Implant Dent. 2019 28 388 399 10.1097/ID.0000000000000909 31344018
ElAskary A. Elfana A. Meabed M. Abd-ElWahab Radi I. Akram M. Fawzy El-Sayed K. Immediate implant placement utilizing vestibular socket therapy versus early implant placement with contour augmentation for rehabilitation of compromised extraction sockets in the esthetic zone: A randomized controlled clinical trial Clin. Implant Dent. Relat. Res. 2022 24 559 568 10.1111/cid.13120 35811090
Zhou Y. Gao J. Sheng M. Qi W. Jin J. He F. Facial alveolar bone alterations and gray value changes based on cone beam computed tomography around maxillary anterior implants: A clinical retrospective study of 1–3 years Clin. Oral Implants Res. 2020 31 476 487 10.1111/clr.13583 31990412
Arunjaroensuk S. Panmekiate S. Pimkhaokham A. The stability of augmented bone between two different membranes used for guided bone regeneration simultaneous with dental implant placement in the esthetic zone Int. J. Oral Maxillofac. Implants 2018 33 206 216 10.11607/jomi.5492
Ye G.H. Duan D.H. Wang E.B. Ridge volume stability of maxillary anterior implants placed with simultaneous lateral guided bone regeneration during healing: A radiographic analysis Chin. J. Dent. Res. 2021 24 251 256
Yu S. Saleh M.H.A. Wang H. Simultaneous or staged lateral ridge augmentation: A clinical guideline on the decision-making process Periodontology 2000 2023 93 107 128 10.1111/prd.12512
Mendoza-Azpur G. de la Fuente A. Chavez E. Valdivia E. Khouly I. Horizontal ridge augmentation with guided bone regeneration using particulate xenogenic bone substitutes with or without autogenous block grafts: A randomized controlled trial Clin. Implant Dent. Relat. Res. 2019 21 521 530 10.1111/cid.12740
Wessels R. Vervaeke S. Seyssens L. Eghbali A. Cosyn J. A 5-year cohort study on early implant placement with guided bone regeneration or alveolar ridge preservation with connective tissue graft Clin. Implant Dent. Relat. Res. 2020 22 697 705 10.1111/cid.12948
Liu R. Yang Z. Tan J. Chen L. Liu H. Yang J. Immediate implant placement for a single anterior maxillary tooth with a facial bone wall defect: A prospective clinical study with a one-year follow-up period Clin. Implant Dent. Relat. Res. 2019 21 1164 1174 10.1111/cid.12854
Jung R.E. Brügger L.V. Bienz S.P. Hüsler J. Hämmerle C.H.F. Zitzmann N.U. Clinical and radiographical performance of implants placed with simultaneous guided bone regeneration using resorbable and nonresorbable membranes after 22–24 years, a prospective, controlled clinical trial Clin. Oral Implants Res. 2021 32 1455 1465 10.1111/clr.13845
Liñares A. Dopico J. Magrin G. Blanco J. Critical review on bone grafting during immediate implant placement Periodontology 2000 2023 93 309 326 10.1111/prd.12516 37658586
Tavelli L. Barootchi S. Avila-Ortiz G. Urban I.A. Giannobile W.V. Wang H.L. Peri-implant soft tissue phenotype modification and its impact on peri-implant health: A systematic review and network meta-analysis J. Periodontol. 2021 92 21 44 10.1002/JPER.19-0716 32710810
Goyal L. Gupta N.D. Gupta N. Chawla K. Free Gingival Graft as a Single Step Procedure for Treatment of Mandibular Miller Class I and II Recession Defects World J. Plast. Surg. 2019 8 12 17 10.29252/wjps.8.1.12 30873357
Botticelli D. Berglundh T. Lindhe J. Hard-tissue alterations following immediate implant placement in extraction sites J. Clin. Periodontol. 2004 31 820 828 10.1111/j.1600-051X.2004.00565.x 15367183
Paolantonio M. Dolci M. Scarano A. d’Archivio D. Di Placido G. Tumini V. Piattelli A. Immediate implantation in fresh extraction sockets. a controlled clinical and histological study in man J. Periodontol. 2001 72 1560 1571 10.1902/jop.2001.72.11.1560
Block M.S. Kent J.N. Placement of endosseous implants into tooth extraction sites J. Oral Maxillofac. Surg. 1991 49 1269 1276 10.1016/0278-2391(91)90302-3
Becker W. Dahlin C. Lekholm U. Bergstrom C. van Steenberghe D. Higuchi K. Becker B.E. Five-year evaluation of implants placed at extraction and with dehiscences and fenestration defects augmented with ePTFE membranes: Results from a prospective multicenter study Clin. Implant Dent. Relat. Res. 1999 1 27 32 10.1111/j.1708-8208.1999.tb00088.x
AlKudmani H. ALJasser R. Andreana S. Is bone graft or guided bone regeneration needed when placing immediate dental implants? A systematic review Implant Dent. 2017 26 936 944 10.1097/ID.0000000000000689
