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The Clinical Evaluation on Gingival Aesthetics of Immediate Implant and Immediate Prosthesis of Maxillary Anterior.

Author: HuWeiZi
Tutor: HeJiaCai
School: Anhui Medical University,
Course: Oral Implantology
Keywords: Immediate Implant Immediate Restoration Super Resin Gingival esthetics
CLC: R783.6
Type: Master's thesis
Year: 2011
Downloads: 116
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Abstract

Previous literature focused on implant success rate and complications reported in other aspects, the present research focus has shifted to one of the soft tissue around the implant aesthetic aspects of the research. The first 3 months after tooth extraction alveolar bone resorption particularly pronounced gingival recession worse, an extension will not be able to get a good crop implant position and soft tissue, such as \Compared to the traditional two-stage delayed planting, planting shorten the course of treatment immediately, to avoid and reduce the absorption of alveolar bone after tooth extraction caused by insufficient planting area and reduce bone osteotomy preparation process of the bone injury, maintaining a soft tissue form, reducing the edentulous time, you can get delayed planting difficult to achieve aesthetic effects, especially on the anterior maxilla facial appearance and language features high-impact, the urgent need for an early restoration of patients. In recent years, we have adopted XIVE implants for immediate repair can not keep off the front teeth, root, satisfactory initial stability and gums aesthetic effect. In addition, immediate implant tooth implants while reducing the number of operations planted nails, and less need to reduce the cost of surgery in patients with bone graft material is easier to accept. In recent years, with the continuous development of cultivation techniques, some scholars have found to enhance the initial implant stability and reduces fretting for immediate implant success rate enormous impact. And delayed implant technology compared to conventional immediate implant has the following advantages: ① can reduce the number of operations and shorten the waiting time for repair as soon as possible to restore chewing function and aesthetic issues; ② immediate implants and peri-implant bone healing tooth socket healing simultaneously reduce the absorption of alveolar ridge, effectively saved the alveolar ridge morphology; ③ extraction sockets to make sure the implant position and angle of more simple, position and orientation of the implant is closer to natural dentition, more in line with biomechanical requirements, to achieve the desired anatomical position; ④ reduce soft tissue absorption, which can effectively avoid the contact points with adjacent teeth denture papilla flinch beneath a \were more likely to accept. Minimally invasive extraction facilitates the retention lip and buccal alveolar bone in particular wall, improve the success rate of planting and aesthetics, clinical maxillary anterior teeth using conventional extraction method can be easily extracted teeth, tooth socket damage that may be Use periodontal membrane separator to fit snugly against the periodontal ligament space, try to root depth until loose. Super-Bond BC resin with superior adhesion and aesthetics, you can follow easily loose tooth fixation resin crown fixed on healthy adjacent teeth, and adjust occlusal wear it in any state have no contact, not only effectively keeping initial stability, but also easy to clean teeth. Purpose of this research was to evaluate the initial stability while maintaining strictly controlled indications under the premise of the maxillary anterior teeth get immediate implant better than delayed implant soft tissue outline, free gingival margin, alveolar ridge closer to the crown side, gingival tissue thicker gums curve natural harmony, especially the interdental papilla aesthetic effect is more ideal, interdental papilla fills the entire or most of the filled tooth gap, and the long-term efficacy in patients with missing teeth in order to reduce the time and number of operations. Methods: 15 patients in the immediate post-extraction implant implants XIVE 20, while access line base composite resin temporary crowns, and use Super-BandB C super resin fixed on the adjacent teeth 3 months ,4-6 months after the line permanent repair, the patient satisfaction surveys and compared with 20 XIVE delayed implant implants were compared interdental papilla shape index, X-ray height of alveolar bone resorption, two clinical indicators and patient satisfaction degrees. Results: After 1 year all implant osseointegration have occurred due to better patient compliance, a total of 40 implants no case fall off, 100% success rate in the treatment group interdental papilla index 2 degrees and 3 degrees, Patient satisfaction was significantly higher in both groups had no gingival papilla index 4 degrees, (p lt; 0.05), X-ray bone resorption first 6 months of treatment group than the control group (p lt; 0.05), after six There was no significant difference months (p gt; 0.05), two bone resorption within the normal range. Conclusion: Strict mastered indications, front teeth with immediate implant Super-BandB C super resin fixed to adjacent teeth and to ensure primary stability, availability of better than delayed implant soft tissue shape, especially the interdental papilla aesthetic effect more ideal.

The Clinical Evaluation on Gingival Aesthetics of Immediate Implant and Immediate Prosthesis of Maxillary Anterior.

Abstract

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