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Effectiveness of the Use of Simultaneous Connective Tissue Grafts and Immediate Post-Extraction Implant Placement: A Literature Review

Received: 24 June 2021    Accepted: 15 July 2021    Published: 29 July 2021
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Abstract

In recent decades, pink aesthetics represents a relevant factor when evaluating long-term results in implant rehabilitation, mainly in the anterior sector. Immediate implant placement after dental extraction is an alternative for the rehabilitation of edentulous patients, and despite its high success rate, the presence of associated peri-implant tissue recessions has been evidenced within its main complications, and the use of connective tissue grafts are a tool that could preserve the stability of the peri-implant mucosa. The objective of this literature review is to assess the use of simultaneous connective tissue grafts with implant placement immediately after extraction as an alternative to improve peri-implant stability. Good results have been evidenced by applying this technique measured in the pink aesthetic score in scientific studies, benefiting those cases with a fine gingival phenotype. Likewise, fewer recessions of the peri-implant mucosa have been observed, which causes fewer associated complications and constitutes an alternative to achieve long-term stability, improvement of peri-implant tissues and better clinical results. However, it is important to take into account that the gingival phenotype is not the only element to consider in post-extraction implants, since the thickness and integrity of the vestibular cortex, the jumping distance, as well as the design of the implant and the three-dimensional positioning must be evaluated.

Published in International Journal of Clinical Oral and Maxillofacial Surgery (Volume 7, Issue 2)
DOI 10.11648/j.ijcoms.20210702.11
Page(s) 13-16
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Connective Tissue Graft, Pink Aesthetics, Immediate Implant Placement, Aesthetic Sector

References
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[4] Al-Sabbagh M, Kutkut A. Immediate implant placement: surgical techniques for prevention and management of complications. Dent Clin North Am. 2015; 59 (1): 73-95.
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[7] Deeb GR, Deeb JG. Soft Tissue Grafting Around Teeth and Implants. Oral Maxillofac Surg Clin North Am. 2015; 27 (3): 425-48.
[8] Noelken et al. Influence of soft tissue grafting, orofacial implant position, and angulation on facial hard and soft tissue thickness at immediately inserted and provisionalized implants in the anterior maxilla. Clin Implant Dent Relat Res. 2018; 20 (5): 674-682.
[9] Noelken, R. Et al. Clinical and esthetic outcome with immediate insertion and provisionalization with or without connective tissue grafting in presence of mucogingival recessions: A retrospective analysis with follow-up between 1 and 8 years. Clin Implant Dent Relat Res. 2018; 1–9.
[10] Zuiderveld, E et al. Effect of connective tissue grafting on peri-implant tissue in single immediate implant sites: A RCT. J Clin Periodontol. 2018; 45 (2): 253-264.
[11] Nimwegen W et al. Immediate placement and provisionalization of implants in the aesthetic zone with or without a connective tissue graft: A 1-year randomized controlled trial and volumetric study. Clin Oral Impl Res. 2018; 29: 671–678.
[12] Migliorati, M et al. Clinical and Aesthetic Outcome with Post-Extractive Implants with or without Soft Tissue Augmentation: A 2-Year Randomized Clinical Trial. Clin Implant Dent Relat Res. 2015; 17 (5): 983-95.
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[14] Yoshino, S et al. Effects of Connective Tissue Grafting on the Facial Gingival Level Following Single Immediate Implant Placement and Provisionalization in the Esthetic Zone: A 1-Year Randomized Controlled Prospective Study. Int J Oral Maxillofac Implants. 2014; 29 (2): 432-40.
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[18] Groenendijk E, Staas TA, Graauwmans FEJ, Bronkhorst E, Verhamme L, Maal T, Meijer GJ. Immediate implant placement: the fate of the buccal crest. A retrospective cone beam computed tomography study. Int J Oral Maxillofac Surg. 2017 Dec;46(12):1600-1606.
[19] Gamborena I, Sasaki Y, Blatz M. Updated Clinical and Technical Protocols for Predictable Immediate Implant Placement. American Academy of Cosmetic Dentistry. 2020, 35 (4).
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Cite This Article
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    Nicolás Solano, Dalmiro Ortega, Arianny Peraza, Mari Solvey Vargas, Mariela Fox. (2021). Effectiveness of the Use of Simultaneous Connective Tissue Grafts and Immediate Post-Extraction Implant Placement: A Literature Review. International Journal of Clinical Oral and Maxillofacial Surgery, 7(2), 13-16. https://doi.org/10.11648/j.ijcoms.20210702.11

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    ACS Style

    Nicolás Solano; Dalmiro Ortega; Arianny Peraza; Mari Solvey Vargas; Mariela Fox. Effectiveness of the Use of Simultaneous Connective Tissue Grafts and Immediate Post-Extraction Implant Placement: A Literature Review. Int. J. Clin. Oral Maxillofac. Surg. 2021, 7(2), 13-16. doi: 10.11648/j.ijcoms.20210702.11

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    AMA Style

    Nicolás Solano, Dalmiro Ortega, Arianny Peraza, Mari Solvey Vargas, Mariela Fox. Effectiveness of the Use of Simultaneous Connective Tissue Grafts and Immediate Post-Extraction Implant Placement: A Literature Review. Int J Clin Oral Maxillofac Surg. 2021;7(2):13-16. doi: 10.11648/j.ijcoms.20210702.11

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  • @article{10.11648/j.ijcoms.20210702.11,
      author = {Nicolás Solano and Dalmiro Ortega and Arianny Peraza and Mari Solvey Vargas and Mariela Fox},
      title = {Effectiveness of the Use of Simultaneous Connective Tissue Grafts and Immediate Post-Extraction Implant Placement: A Literature Review},
      journal = {International Journal of Clinical Oral and Maxillofacial Surgery},
      volume = {7},
      number = {2},
      pages = {13-16},
      doi = {10.11648/j.ijcoms.20210702.11},
      url = {https://doi.org/10.11648/j.ijcoms.20210702.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcoms.20210702.11},
      abstract = {In recent decades, pink aesthetics represents a relevant factor when evaluating long-term results in implant rehabilitation, mainly in the anterior sector. Immediate implant placement after dental extraction is an alternative for the rehabilitation of edentulous patients, and despite its high success rate, the presence of associated peri-implant tissue recessions has been evidenced within its main complications, and the use of connective tissue grafts are a tool that could preserve the stability of the peri-implant mucosa. The objective of this literature review is to assess the use of simultaneous connective tissue grafts with implant placement immediately after extraction as an alternative to improve peri-implant stability. Good results have been evidenced by applying this technique measured in the pink aesthetic score in scientific studies, benefiting those cases with a fine gingival phenotype. Likewise, fewer recessions of the peri-implant mucosa have been observed, which causes fewer associated complications and constitutes an alternative to achieve long-term stability, improvement of peri-implant tissues and better clinical results. However, it is important to take into account that the gingival phenotype is not the only element to consider in post-extraction implants, since the thickness and integrity of the vestibular cortex, the jumping distance, as well as the design of the implant and the three-dimensional positioning must be evaluated.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Effectiveness of the Use of Simultaneous Connective Tissue Grafts and Immediate Post-Extraction Implant Placement: A Literature Review
    AU  - Nicolás Solano
    AU  - Dalmiro Ortega
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    JF  - International Journal of Clinical Oral and Maxillofacial Surgery
    JO  - International Journal of Clinical Oral and Maxillofacial Surgery
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    PB  - Science Publishing Group
    SN  - 2472-1344
    UR  - https://doi.org/10.11648/j.ijcoms.20210702.11
    AB  - In recent decades, pink aesthetics represents a relevant factor when evaluating long-term results in implant rehabilitation, mainly in the anterior sector. Immediate implant placement after dental extraction is an alternative for the rehabilitation of edentulous patients, and despite its high success rate, the presence of associated peri-implant tissue recessions has been evidenced within its main complications, and the use of connective tissue grafts are a tool that could preserve the stability of the peri-implant mucosa. The objective of this literature review is to assess the use of simultaneous connective tissue grafts with implant placement immediately after extraction as an alternative to improve peri-implant stability. Good results have been evidenced by applying this technique measured in the pink aesthetic score in scientific studies, benefiting those cases with a fine gingival phenotype. Likewise, fewer recessions of the peri-implant mucosa have been observed, which causes fewer associated complications and constitutes an alternative to achieve long-term stability, improvement of peri-implant tissues and better clinical results. However, it is important to take into account that the gingival phenotype is not the only element to consider in post-extraction implants, since the thickness and integrity of the vestibular cortex, the jumping distance, as well as the design of the implant and the three-dimensional positioning must be evaluated.
    VL  - 7
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Author Information
  • Oral and Maxillofacial Surgery Unit, Hospital Coromoto, Maracaibo, Venezuela

  • Prosthodontics Unit, University of Zulia, Maracaibo, Venezuela

  • Oral Surgery Postgraduate Program, University of Zulia, Maracaibo, Venezuela

  • Periodontics Postgraduate Program, University of Zulia, Maracaibo, Venezuela

  • Research Institute of the School of Dentistry, University of Zulia, Maracaibo, Venezuela

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