Clinical


Fig 19


Fig 20 BIBLIOGRAPHY


Kois JC, Kan JY, 2001 Predict- able peri-implant gingival aesthetics.Pract Proced Aesthet Dent. 2001 Nov-Dec; 13(9):691-8.


Fig 22 2006; 17:615–624.


Kan JY, Rungcharassaeng K, Lozada J. Immediate placement and provisionalization of maxil- lary anterior single implants. Int J Oral Maxillofac Implants. 2003 Jan-Feb; 18(1):31-9. Cosyn J, Hooghe N, De Bruyn H. A systematic review on the frequency of advanced recession following single immediate implant treatment. J Clin Periodontol. 2012 Jun; 39(6):582-9.


Fig 23 Continued »


week previously. The fractured portion had been bonded into place and a subsequent sinus tract had developed over the mesial aspect of the mid-root. An identical protocol to the one


previously described was used to extract and immediately implant the socket of ULı (Fig ı8). The implant was restored after three months of healing time. Again, this was a high- risk case due to thin gingival tissues and the infection of the facial soft tissues. However, using the protocol described a predictable outcome is achieved (Fig ı9).


Case three A 45-year-old female patient presented complaining of pain


ABOUT THE AUTHORS


Dr Ronan Allen completed his undergraduate training at Trinity College Dublin in 2002 and then in 2009 completed his three-year clinical certificate and masters degree in periodontology and implant dentistry from the University of North Carolina at


Chapel Hill. He now works in private practice limited to periodontology and implant dentistry and is a clinical supervisor in the graduate program of periodontology in the Dublin Dental University Hospital.


Dr Edward O’Reilly qualified from Dental School, Trinity College Dublin, in 1997. Edward then completed the three-year full-time masters programme in prostho- dontics in Dublin Dental School. He is now working in private practice in Dublin limited to


prosthodontics and implant dentistry in Burlington Road, while maintaining a part-time faculty teaching position in the restora- tive department in the Dublin Dental Hospital and School.


www.burlingtondentalclinic.ie Ireland’s Dental magazine 23


Araújo MG, Sukekava F, Wennström JL, Lindhe J. Tissue modeling following implant placement in fresh extraction sockets. Clin Oral Implants Res


from her lower anterior teeth (Fig 2ı). On examination, her lower central incisors, that had been endodontically treated many years previously, both had periapical radiolucencies and were deemed hopeless for retreatment due to very short roots (Fig 20). Once again the immediate implant


protocol as previously described was used to extract both teeth and place an implant in the LRı site. The LLı site was grafted with xenograft and epithelial plug harvested from the palate with the connective tissue graft (Fig 2ı). After three months of healing, the implant was restored using an implant-supported cantile- vered fixed partial denture (Fig 23).


Conclusions Our patients expect their implant


Botticelli D, Berglundh T, Lindhe J. Hard- tissue alterations following immediate implant placement in extraction sites. J Clin Periodontol 2004; 31:820–828.


Fürhauser R, Florescu D, Benesch T, Haas R, Mailath G, Watzek G. Evaluation of soft tissue around single-tooth implant crowns. Clin Oral Implants Res 2005; 16:639– 644.


Chen ST, Darby IB, Reynolds EC. A pro- spective clinical study of non-submerged immediate implants:


Clinical outcomes and esthetic results. Clin Oral Implants Res 2007; 18:552–562. Grunder U. Crestal Ridge Width Changes When Placing


Implants at the Time of Tooth Extraction 2011 IJPRD. Kan JY, Rungcharassaeng K, Lozada JL, Zimmerman G. Facial gingival tissue stability following immediate place- ment and provisionalization of maxillary anterior single implants. Int J Oral Maxil- lofac Implants. 2011 Jan-Feb; 26(1):179-87.


Fig 21


Cornelini R, Barone A, Covani U. Connective tissue grafts in postextraction implants with immediate restoration. Pract Proced Aesthet Dent. 2008 Jul; 20(6):337-43.


Cosyn J, De Bruyn H, Cleymaet R. Soft Tissue Preservation and Pink Aesthetics around Single Immediate Implant Restora- tions. Clin Implant Dent Relat Res. 2012 Feb 29.


restorations to last many years, performing well both function- ally and aesthetically. If we know that some degree of vertical and horizontal resorption is likely when placing anterior immediate implants, especially in patients with a thin biotype, then every effort should be made to maintain and augment these delicate tissues at the time of initial surgery. Use of this clinical surgical


protocol may be an effective treat- ment option to compensate for the expected loss of tissue, helping to maintain a good aesthetic result over time. The next article will discuss the


impression techniques, abutment contours and material choices necessary for achieving ideal imme- diate implant aesthetic results


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