IMPROVING THE PROTOCOL FOR THE OPERATION OF ONE-STAGE DENTAL IMPLANTATION OF PATIENTS WITH TOOTH LOSS
Abstract and keywords
Abstract (English):
Subject. The technique of immediate dental implantation, analysis of its results and treatment protocol improvement. Aim. To increase the effectiveness of the rehabilitation of patients with chronic periodontitis and traumatic tooth fracture (with indications for extraction) based on the improvement of the protocol for the operation of one-stage dental implantation. Methodology. In the period from 2020 to 2022, on the basis of the Department of Oral Surgery and Maxillofacial surgery department of the RUDN University and Sechenov University, the immediate dental implantation was performed in 20 patients with a diagnosis of Chronic periodontitis and tooth fracture (K.04.5, S02.5 ICD-10) (with indications for their removal ) with the installation of 20 dental implants: Osstem Implant (South Korea) – 10 units (50%), IRIS (Russia) – 10 units (50%). In all cases, the gingival cuff shapers were installed simultaneously. If necessary, osteoplastic materials and gingival autografts were used. The installation of dental implants was carried out with a depth of 2–3 mm, depending on the jaw section, and was displaced orally with a minimum distance to the vestibular cortical plate of 1.5 mm. Results. At the end of our study, no complications were identified, 100% integration of implants was obtained, as well as their 100% survival and stability, both according to CBCT data, and according to the results of a follow-up examination 12 months after permanent prosthetics restorations. Conclusion. According to the results of our study, immediate implantation made it possible to carry out a full-fledged rehabilitation of patients if tooth extraction was necessary, to reduce the overall treatment time in the absence of complications in the postoperative period.

Keywords:
dental implantation, immediate implantation, primary stability, atraumatic tooth extraction, chronic periodontitis
References

1. Kulakov A.A, Kasparov A.S., Hamraev T.K., Porfenchuk D.A. Stabil'nost' implantatov s ranney funkcional'noy nagruzkoy. Klinicheskaya stomatologiya. 2019;2:50-54. [A.A. Kulakov, A.S. Kasparov, T.K. Hamraev, D.A. Porfenchuk. Stability of implants with early functional loading. Clinical dentistry. 2019;2:50-54. (In Russ.)]. DOI:https://doi.org/10.37988/1811-153X_2019_2_50.

2. Amato F., Polara G. Immediate Implant Placement in Single-Tooth Molar Extraction Sockets: A 1- to 6-Year Retrospective Clinical Study // Int J Periodontics Restorative Dent. - 2018;38(4):495-501. doi:https://doi.org/10.11607/prd.3179.

3. Mauricio G. Araújo, Cleverson O. Silva, Andrė B. Souza, Flavia Sukekava. Socket healing with and without immediate implant placement // Periodontology 2000. - 2019;79(1):168-177. https://doi.org/10.1111/prd.12252

4. Vol'berg R.V., Vali M.A., Mordanov O.S. Vertikal'nyy perelom kornya - odnomomentnaya implantaciya, rannee protezirovanie i zakrytie recessii. Klinicheskiy otchet. Endodontiya today. 2019;17(3):56-60. [R.V. Vol'berg, M.A. Vali, O.S. Mordanov. Vertical root fracture - one-stage implantation, early prosthetics and recession closure. Clinical report. Endodontics today. 2019;17(3):56-60. (In Russ.)]. DOI:https://doi.org/10.36377/1683-2981-2019-17-3-56-60.

5. Nazaraliev D.M. Sravnitel'naya harakteristika implantacionnyh sistem dlya odnomomentnoy implantacii s nemedlennoy nagruzkoy zubov verhney chelyusti. Byulleten' medicinskih internet-konferenciy. 2018;8(4):136-137. [D.M. Nazaraliev. Comparative characteristics of implant systems for simultaneous implantation with immediate loading of the teeth of the upper jaw. Bulletin of medical Internet conferences. 2018;8(4):136-137. (In Russ.)]. https://elibrary.ru/item.asp?id=34989499

6. Put' V.A., Haralampos M., Il'ichev E.A. Nemedlennaya implantaciya, intraoperacionnoe neposredstvennoe protezirovanie - osnovnoy faktor uspeha pri stomatologicheskoy implantat-proteznoy reabilitacii pacientov. Glavnyy vrach Yuga Rossii. 2019;3(67):32-37. [V.A. Put', M. Haralampos, E.A. Il'ichev. Immediate implantation, intraoperative direct prosthetics is the main success factor in dental implant-prosthetic rehabilitation of patients. Chief physician of the South of Russia. 2019;3(67):32-37. (In Russ.)]. https://elibrary.ru/item.asp?id=38508741

7. Bassir S.H., El Kholy K., Chen C.Y., Lee K.H., Intini G. 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:https://doi.org/10.1002/JPER.18-0338.

8. Smith R.B., Tarnow D.P., Sarnachiaro G. Immediate Placement of Dental Implants in Molar Extraction Sockets: An 11-Year Retrospective Analysis // Compend Contin Educ Dent. - 2019;40(3):166-170. PMID: 30829500

9. Ghahroudi A.A.R., Rokn A.R., Shamshiri A.R., Samiei N. Does timing of implant placement affect esthetic results in single-tooth implants? A cohort evaluation based on mPES // J Esthet Restor Dent. - 2020;32(7):715-725. doi:https://doi.org/10.1111/jerd.12631.

10. Kim Hye-sung, Han-A. Cho, Hosung Shin. Implant survival and patient satisfaction in completely edentulous patients with immediate placement of implants: a retrospective study // BMC Oral Health. - 2018;18(1):1-9. https://doi.org/10.1186/s12903-018-0669-1

11. Hsiu-Wan Meng, Esther Yun Chien, Hua-Hong Chien. Immediate Implant Placement and Provisionalization in the Esthetic Zone: A 6.5-Year Follow-Up and Literature Review // Case Reports in Dentistry. - 2021;2021:11. https://doi.org/10.1155/2021/4290193

12. Del Fabbro M., Testori T., Kekovic V., Goker F., Tumedei M., Wang H.-L. A Systematic Review of Survival Rates of Osseointegrated Implants in Fully and Partially Edentulous Patients Following Immediate Loading // Journal of Clinical Medicine. - 2019;8(12):2142. https://doi.org/10.3390/jcm8122142

13. Gamborena I., Sasaki Y., Blatz M.B. Updated clinical and technical protocols for predictable immediate implant placement // Journal of Cosmetic Dentistry. - 2020;35(4). DOI:https://doi.org/10.1111/jerd.12716

14. Sorokin E.A., Yudochkin A.Yu., Aleksandrova M.A. Odnomomentnaya implantaciya i nemedlennaya nagruzka v myagkoy kosti (D3, D4). Byulleten' medicinskih internet-konferenciy. 2019;9(7):282. [E.A. Sorokin, A.Yu. Judochkin, M.A. Aleksandrova. Immediate implantation and immediate loading in soft bone (D3, D4). Bulletin of medical Internet conferences. 2019;9(7):282. (In Russ.)]. https://elibrary.ru/item.asp?id=41592835

15. Elaskary A.T., Gaweesh Y.Y., Maebed M.A., Cho S.C., El Tantawi M.A Novel Method for Immediate Implant Placement in Defective Fresh Extraction Sites // International Journal of Oral & Maxillofacial Implants. - 2020;35(4):799-807. DOI:https://doi.org/10.11607/jomi.8052

16. Mello C.C., Lemos C.A.A., Verri F.R., Dos Santos D.M., Goiato M.C., Pellizzer E.P. Immediate implant placement into fresh extraction sockets versus delayed implants into healed sockets: A systematic review and meta-analysis // Int J Oral Maxillofac Surg. - 2017;46(9):1162-1177. doi:https://doi.org/10.1016/j.ijom.2017.03.016.

17. Blanco J., Carral C., Argibay O., Liñares A. Implant placement in fresh extraction sockets // Periodontol 2000. - 2019;79(1):151-167. doi:https://doi.org/10.1111/prd.12253.

18. Tirone F., Genovesi F. Immediate implant placement and loading in the esthetic area when the buccal socket wall is significantly damaged // J Esthet Restor Dent. - 2021;33(4):542-549. doi:https://doi.org/10.1111/jerd.12707..

19. Pal U.S., Daga D., Singh R.K., Kumar L., Singh M. Comparison of stability with two-time use of platelet-rich growth factor versus one-time use of platelet-rich growth factor in immediate placement of dental implant in infected socket // Natl J Maxillofac Surg. - 2018;9(2):209-214. doi:https://doi.org/10.4103/njms.NJMS_1_18.

20. Seyssens L., Eghbali A., Cosyn J. A 10-year prospective study on single immediate implants // J Clin Periodontol. - 2020;47:1248-1258. https://doi.org/10.1111/jcpe.13352

21. de Oliveira-Neto O.B., Lemos C.A., Barbosa F.T., de Sousa-Rodrigues C.F., Camello de Lima F.J. Immediate dental implants placed into infected sites present a higher risk of failure than immediate dental implants placed into non-infected sites: Systematic review and meta-analysis // Medicina oral, patologia oral y cirugia bucal. - 2019;24(4):518-528. https://doi.org/10.4317/medoral.22954

22. Dong Wu, Lin Zhou, Jichao Lin, Jiang Chen, Wenxiu Huang, Yonghui Chen. Immediate implant placement in anterior teeth with grafting material of autogenous tooth bone vs xenogenic bone // BMC Oral Health. - 2019;19(1):1-11. https://doi.org/10.1186/s12903-019-0970-7

23. Ivanov S.Yu., Muraev A.A., Rukina E.A., Bunev A.A. Metod neposredstvennoy dental'noy implantacii. Sovremennye problemy nauki i obrazovaniya. 2015;5:230-230. [S.Yu. Ivanov, A.A. Muraev, E.A. Rukina, A.A. Bunev. Method of direct dental implantation. Modern problems of science and education. 2015;5:230-230. (In Russ.)]. https://elibrary.ru/item.asp?id=32664117

24. Slagter K.W., Raghoebar G.M., Hentenaar D.F.M., Vissink A., Meijer H.J.A. Immediate placement of single implants with or without immediate provisionalization in the maxillary aesthetic region: A 5-year comparative study // J Clin Periodontol. - 2015;5:230-230. 2021;48(2):272-283. doi:https://doi.org/10.1111/jcpe.13398.

25. Zhou X., Yang J., Wu L., Tang X., Mou Y., Sun W., Hu Q., Xie S. Evaluation of the Effect of Implants Placed in Preserved Sockets Versus Fresh Sockets on Tissue Preservation and Esthetics: A Meta-analysis and Systematic Review // J Evid Based Dent Pract. - 2015;5:230-230. 2019;19(4):101336. doi:https://doi.org/10.1016/j.jebdp.2019.05.015.

26. Urban Istvan. Vertical and horizontal ridge augmentation. Berlin : Quintessence publishing. 2017:30. https://www.quintessence-publishing.com/deu/de/product/vertical-and-horizontal-ridge-augmentation

27. Ashish Kakar, Kanupriya Kakar, Minas D. Leventis, Gaurav Jain. Immediate implant placement in infected sockets: a consecutive cohort study // Journal of Lasers in Medical Sciences. - 2020;11(2):167-173. doi:https://doi.org/10.34172/jlms.2020.28

28. Arora H., Khzam N., Roberts D., Bruce W.L., Ivanovski S. Immediate implant placement and restoration in the anterior maxilla: Tissue dimensional changes after 2-5 year follow up // Clinical implant dentistry and related research. - 2017;19(4):694-702. https://doi.org/10.1111/cid.12487

29. Testori T., Weinstein T., Scutellà F., Wang H.L., Zucchelli G. Implant placement in the esthetic area: criteria for positioning single and multiple implants // Periodontol 2000. - 2018;77(1):176-196. doi:https://doi.org/10.1111/prd.12211. Epub 2018 Feb 27. PMID: 29484714.

30. Joseph Yun Kwong Kan, Kitchai Rungcharassaeng, Matteo Deflorian, Tommaso Weinstein, Hom-Lay Wang, Tiziano Testori. Immediate implant placement and provisionalization of maxillary anterior single implants // Periodontology 2000. - 2018;77(1):197-212. https://doi.org/10.1111/prd.12212


Login or Create
* Forgot password?