Chinese Journal of Tissue Engineering Research ›› 2015, Vol. 19 ›› Issue (29): 4672-4676.doi: 10.3969/j.issn.2095-4344.2015.29.016

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Bone mass change and aesthetic outcomes in the upper anterior tooth area after immediate-delayed implantation

Zhang Ning1, Yao Xi1, Du Wen-hua2, Li Hong-mei1, Li Yun-sheng1   

  1. 1Department of Stomatology, China Meitan General Hospital, Beijing 100028, China; 2Greentown Angle Dental Clinic, Hangzhou 310013, Zhejiang Province, China
  • Online:2015-07-09 Published:2015-07-09
  • About author:Zhang Ning, Department of Stomatology, China Meitan General Hospital, Beijing 100028, China

Abstract:

BACKGROUND: A large amount of apicocoronal and buccolingual bone resorption occur in alveolar bone after tooth extraction, leading to the distinct shortage of bone mass of alveolar bone in tooth-missing area, which has a certain effect on the stability of early implantatiion and postoperative aesthetic outcomes and greatly affects the long-term success rate of denture implantation. Therefore, immediate-delayed implantation can shorten the time of repair. 
OBJECTIVE: To evaluate the effect of implant repair after immediate-delayed implantation and application of guided bone regeneration technique in anterior maxilla area.
METHODS: Nineteen patients (28 teeth lost) with maxillary anterior tooth loss and labial one-walled bone defects were selected. Twenty-eight OSSTEM implants were implanted at 4 weeks after tooth extraction. Guided bone regeneration technique was applied concurrently in labial bone defect area. The secondary repair was performed after 6 months. 
RESULTS AND CONCLUSION: The success rate of these 28 implants was 100% at 24 months after denture implantation. The peri-implant bone height loss at 6, 12 and 24 months was 0.1, 0.6 and 0.11 mm, respectively. Red aesthetic scores were satisfactory. Immediate-delayed implantation combined with application of guided bone regeneration technique for treatment of maxillary anterior tooth loss and mild bone defect can restore the height and width of peri-implant bone and acquire stable vertical bone resorption and satisfactory gingival aesthetic outcomes .

中国组织工程研究杂志出版内容重点:组织构建;骨细胞;软骨细胞;细胞培养;成纤维细胞;血管内皮细胞;骨质疏松组织工程

Key words: Dental Implants, Bone Regeneration, Esthetics, Dentistry 

CLC Number: