A case of immediate implant placement and provisionalization with natural teeth

a 3 year follow-up

| Posted in: Health Sciences Science

Journal name: World Journal of Pharmaceutical Research
Original article title: A case of immediate implant placement and provisionalization with natural teeth
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
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Subtitle: a 3 year follow-up

Original source:

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Author:

Dr. Kamal Ramjee Vaska MDS and Dr. Ravalika N. Kothuri MDS


World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: A case of immediate implant placement and provisionalization with natural teeth

Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research

Doi: 10.20959/wjpr20228-23892

Copyright (license): WJPR: All rights reserved


Download the PDF file of the original publication


Summary of article contents:

Introduction

The use of dental implants has revolutionized the field of dentistry, especially for patients seeking permanent tooth replacements. Traditionally, a lengthy waiting period follows tooth extraction to allow for healing before implant placement. However, recent research indicates that immediate implant placement and provisionalization can yield positive aesthetic results, especially in the anterior esthetic zone. This case report follows a 36-year-old male patient who underwent immediate implant placement post-extraction of a fractured tooth, utilizing the extracted tooth for provisionalization, effectively preserving soft tissue profile and enhancing aesthetics.

Immediate Implant Placement and Provisionalization

Immediate implant placement involves placing an implant into the extraction socket promptly after tooth removal. Traditionally, patients were required to wait several months for osseointegration before the restoration began. In this case, immediate implant placement allowed for a quicker treatment timeline, as the patient was fitted with a provisional restoration using the extracted tooth itself. This approach enabled the maintenance of the tooth’s natural contour and soft tissue profile, improving overall aesthetic outcomes while minimizing the need for additional surgeries.

Advantages of Utilizing Extracted Teeth as Provisionals

By employing the same extracted tooth for provisionalization, the dental team could significantly enhance the patient’s cosmetic appearance right after the procedure. This practice not only saved time but also provided psychological benefits, helping reduce the social embarrassment commonly associated with missing teeth. The preserved emergence profile contributed to a more natural appearance while allowing for the immediate functionality of the provisional restoration.

Long-Term Follow-Up and Patient Satisfaction

The patient was monitored for three years after the immediate implant placement, with regular follow-ups ensuring that the implant remained stable and the surrounding tissues were healthy. The use of the extracted tooth as a provisional restoration proved successful, leading to a high level of patient satisfaction not only with the aesthetics but also with the overall treatment experience. The findings underscored the effectiveness of the immediate implant procedure and its advantages in enhancing patient outcomes.

Conclusion

The integration of immediate implant placement and provisionalization marks a significant advancement in restorative dentistry. This approach minimizes the psychological stress associated with tooth loss and offers patients a swift transition to a fully functional and aesthetically pleasing restoration. The successful application of using the extracted tooth for provisional restoration demonstrates that immediate implants can provide both aesthetic and functional benefits, ultimately leading to improved patient satisfaction and confidence. This case illustrates the viability and advantages of incorporating immediate implant protocols into dental practice.

FAQ section (important questions/answers):

What is immediate implant placement and provisionalization (IIPP)?

IIPP involves placing a dental implant right after tooth extraction, along with using the extracted tooth for temporary restoration. This technique helps maintain esthetics and the natural soft tissue profile.

Why was the patient in the case study treated with IIPP?

The patient had a vertical fracture in a tooth, making extraction necessary. IIPP was used to provide an immediate and aesthetically pleasing permanent replacement, avoiding social embarrassment while maintaining the natural tooth profile.

What are the advantages of immediate implant placement techniques?

Immediate implant placement minimizes treatment time and enables faster healing, reduces bone resorption, offers immediate loading, and improves aesthetic outcomes. These advantages meet patients' desires for quick and stable tooth replacement.

How does IIPP improve the aesthetics after tooth extraction?

By using the extracted tooth for provisionalization, IIPP preserves the soft tissue contour and achieves a natural appearance. This method ensures that the temporary restoration closely resembles the original tooth.

How long was the patient followed after the immediate implant procedure?

The patient was followed up for three years at regular intervals to monitor the implant's function and aesthetics before placing a permanent crown, ensuring satisfactory long-term results.

What psychological benefits does immediate implant placement provide patients?

Immediate implant placement reduces social embarrassment and anxiety associated with tooth loss. It allows patients to quickly regain their normal appearance and function, thus improving their confidence and quality of life.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “A case of immediate implant placement and provisionalization with natural teeth”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Line:
In the context of dental procedures, 'line' refers to the marked boundary on the tooth where specific anatomical or procedural considerations become relevant. In this study, marking the cervical line on the tooth was critical for ensuring proper placement and aesthetics during the immediate implant procedure and provisionalization process, allowing for optimal matching with the adjacent tissues.

2) Post:
The term 'post' typically refers to a supporting structure used in dental restorations. In this case report, it is likely associated with the restoration following extraction and implant placement. Supporting posts are crucial in dental prosthodontics for providing stability and securing the final restoration to the implant, thus contributing to the overall success of the treatment.

3) Visit:
The word 'visit' denotes the appointment or interaction between the patient and the dental team. Each visit is significant in establishing a rapport, conducting examinations, discussing treatment options, and performing necessary procedures. Precise record-keeping at each visit is key for follow-ups, ensuring that treatment progresses according to plan and addressing any complications.

4) Pur:
'Poor' is an adjective indicating an unfavorable condition or outcome. In dentistry, this term relates to the prognosis of a fractured tooth or the state of oral health. A 'poor prognosis' suggests that a tooth is unlikely to successfully survive further treatment, often necessitating extraction and subsequent restorative procedures like implants.

5) Accumulation (Accumulating, Accumulate):
Accumulation refers to the buildup of substances, such as plaque, around dental structures. In this report, it emphasizes the importance of minimizing plaque around the placement site post-procedure. Ensuring smooth surfaces and effective sealing around restorations reduces the risk of periodontal disease and ensures long-term success of dental implants, improving patient care.

6) Surrounding:
The term 'surrounding' pertains to the tissues and anatomical features adjacent to the dental area being treated. In dental procedures, the surrounding tissues, such as gums and bone, greatly influence healing and implant stability. Understanding the surrounding environment assists clinicians in planning effective procedures and achieving aesthetic goals while ensuring successful outcomes.

7) Discussion:
'Discussion' indicates an essential part of the clinical decision-making process involving the evaluation of treatment options. It refers to reviewing the dental case, weighing pros and cons, and considering patient input. Engaging in thorough discussions helps practitioners address patient concerns, tailor treatment plans, and enhance patient adherence to therapy, improving satisfaction and outcomes.

8) Channel:
In a dental context, 'channel' can refer to the pathway created during procedures, such as access to an implant or the routing for impressions and materials. Proper management of these channels is necessary to facilitate effective treatment outcomes, ensuring that every stage of the procedure, from implant placement to final restoration, is executed seamlessly.

9) Account:
'Account' refers to the documentation and recording of patient interactions and clinical procedures in a dental setting. Maintaining thorough accounts is crucial for tracking treatment progression, ensuring continuity of care, and providing a legal record of treatment provided. It also aids future practitioners in understanding past treatments when addressing patient needs.

10) Surface:
The term 'surface' in dentistry relates to the outer layer of teeth and dental restorations. In this case, emphasis on maintaining smooth and polished surfaces is vital for aesthetic appeal and health. Proper surface treatment minimizes plaque retention and enhances the longevity of crowns or implants, contributing to successful dental outcomes.

11) Animal:
In this context, 'animal' pertains to studies involving animal subjects, which provide preliminary data on dental procedures and implant effectiveness. Such studies are essential for understanding biological responses before human applications, guiding evidence-based practices in periodontal treatments and ensuring safety and viability in clinical studies for human patients.

12) Desire:
'Desire' points to the patient's intrinsic motivation for achieving a fixed and aesthetically pleasing dental solution. This emotional aspect drives many individuals to seek intervention, highlighting the importance of understanding patient goals in treatment planning. Recognizing and addressing patient desires can improve treatment satisfaction and outcomes, reinforcing the dentist-patient partnership.

13) Filling (Filled):
The term 'filled' in dental procedures often refers to the process of completing or sealing a cavity or space within dental structures. For example, ensuring that the soft tissue areas surrounding an implant are filled appropriately is crucial for preserving aesthetics and function, thus facilitating successful integration of the implant and maintaining gum health.

14) India:
'India' refers to the geographical and cultural context of the study, indicating where the clinical practices took place. The practices and dental procedures described may reflect specific regional guidelines and training, showcasing advancements in implant dentistry within this locale. Understanding local dental standards helps in adapting practices for varied patient demographics.

15) Grove:
The term 'grove' in dental terminology, which does not ordinarily appear in this context, may reference the central groove of a tooth. In the case report, attention to the specific grooves in teeth can significantly affect the design and fit of restorations, ensuring that functional and aesthetic principles align to meet patient needs.

16) Study (Studying):
'Study' denotes the systematic investigation of the case, analyzing outcomes and methodologies employed during immediate implant procedures. This study contributes to the body of dental knowledge, delivering insights into effective practices in prosthodontics. Reviewing such studies allows practitioners to enhance techniques, ensuring better patient care and successful results over time.

17) Pain:
The term 'pain' represents the chief complaint that initiated the dental visit. Understanding a patient's pain level is crucial for diagnosing issues and determining treatment plans. Effective management of pain can improve patient experiences and compliance with dental interventions, directly impacting overall treatment satisfaction and success in dental practice.

18) Hand:
'Hand' relates to the manual skills required by dental practitioners during procedures. Precision in hand movements is critical for successful outcomes in dentistry, especially in complex procedures like implant placements. Skilled hand techniques, alongside proper tool usage, ensure that interventions are executed effectively while minimizing discomfort and optimizing aesthetic results for patients.

19) Male:
'Male' signifies the gender of the patient in the case report. The relevance lies in understanding demographic factors that may influence dental treatment outcomes, patient preferences, and behavior. Gender can affect attitudes towards dental interventions and pain tolerance, thus it is beneficial for practitioners to consider these factors during treatment planning.

Other Science Concepts:

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Discover the significance of concepts within the article: ‘A case of immediate implant placement and provisionalization with natural teeth’. Further sources in the context of Science might help you critically compare this page with similair documents:

Clinical case report, Patient follow up, Patient satisfaction, Social embarrassment, Radiographic evaluation, Fixed Partial Denture, Osseointegration, Immediate implant placement, Esthetic Zone, Soft Tissue Profile, Emergence Profile, Atraumatic Extraction.

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