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

Nicolás Solano; Dalmiro Ortega; Arianny Peraza; Mari Solvey Vargas; Mariela Fox

doi:doi:10.11648/j.ijcoms.20210702.11

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

Nicolás Solano, Dalmiro Ortega, Arianny Peraza, Mari Solvey Vargas, Mariela Fox

Published in International Journal of Clinical Oral and Maxillofacial Surgery (Volume 7, Issue 2)

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), 2021. Published by Science Publishing Group

Keywords

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

References

[1]	Fuentealba R, Jofré J. Esthetic Failure in Implant Dentistry. Dent Clin North Am. 2015; 59 (1): 227-46.
[2]	Chee B. Pink Aesthetics. Practical Procedures in Aesthetic Dentistry: First Edition. 2017. Chapter 11.6.
[3]	Machado A, Goncalves R, Pinheiro AD, Filho CC, Rangel BC, Alto RM, Casado PL. Immediate implant and customized abutments: Esthetic peri-implant preservation alternative without immediate loading esthetic customized abutment. Int J Growth Factors Stem Cells Dent 20belser2: 8-12.
[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.
[5]	Kotsakis G et al. Soft tissue surgical procedures for optimizing anterior implant esthetics. Int. J. Dent. 2015.
[6]	Le B, Nielsen B. Esthetic Implant Site Development. Oral Maxillofac Surg Clin North Am. 2015; 27 (2): 283-311.
[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.
[13]	Cosyn, J. Et al. Soft Tissue Preservation and Pink Aesthetics around Single Immediate Implant Restorations: A 1-Year Prospective Study. Clin Implant Dent Relat Res. 2013; 15 (6): 847-57.
[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.
[15]	Elian N. A simplified socket classification and repair technique. Pract Proced Aesthet Dent. 2007 Mar; 19 (2): 99-104.
[16]	Gluckman H, Pontes CC, Du Toit J. Radial plane tooth position and bone wall dimensions in the anterior maxilla: A CBCT classification for immediate implant placement. J Prosthet Dent. 2018 Jul; 120 (1): 50-56.
[17]	Cheng AW, Berridge JP, McGary RT, Erley KJ, Johnson TM. The extraction socket management continuum: A hierarchical approach to dental implant site development. Clin Adv Perio. 2018;9:91–104.
[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).
[20]	Kan J et al. Facial Gingival Tissue Stability After Connective Tissue Graft With Single Immediate Tooth Replacement in the Esthetic Zone: Consecutive Case Report. J Oral Maxillofac Surg 2009; 67: 40-48.
[21]	Atieh MA. Soft tissue changes after connective tissue grafts around immediately placed and restored dental implants in the esthetic zone: A systematic review and meta-analysis. Journal of Esthetic and Restorative Dentistry; 2019.
[22]	Fürhauser R et al. Evaluation of soft tissue around single-tooth implant crowns: the pink esthetic score. Clin Oral Implants Res. 2005; 16 (6): 639-44.
[23]	Belser UC et al. Outcome Evaluation of Early Placed Maxillary Anterior Single-Tooth Implants Using Objective Esthetic Criteria: A Cross-Sectional, Retrospective Study in 45 Patients With a 2- to 4-Year Follow-Up Using Pink and White Esthetic Scores. J Periodontol. 2009; 80 (1): 140-51
[24]	Benic G et al. Dimensions of Buccal Bone and Mucosa at Immediately Placed Implants After 7 Years: A Clinical and Cone Beam Computed Tomography Study. Clin Oral Implants Res. 2012 May; 23 (5): 560-6.
[25]	Macedo J et al. Morse Taper Dental Implants and Platform Switching: The New Paradigm in Oral Implantology. Eur J Dent. Jan-Mar 2016; 10 (1): 148-154.
[26]	Frizzera F et al. Treatment of peri-implant soft tissue defects: a narrative Review. Braz. oral res. 2019; 33 (1).

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APA Style

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
AU  - Arianny Peraza
AU  - Mari Solvey Vargas
AU  - Mariela Fox
Y1  - 2021/07/29
PY  - 2021
N1  - https://doi.org/10.11648/j.ijcoms.20210702.11
DO  - 10.11648/j.ijcoms.20210702.11
T2  - International Journal of Clinical Oral and Maxillofacial Surgery
JF  - International Journal of Clinical Oral and Maxillofacial Surgery
JO  - International Journal of Clinical Oral and Maxillofacial Surgery
SP  - 13
EP  - 16
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
IS  - 2
ER  -

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Author Information

Nicolás Solano

Oral and Maxillofacial Surgery Unit, Hospital Coromoto, Maracaibo, Venezuela
Dalmiro Ortega

Prosthodontics Unit, University of Zulia, Maracaibo, Venezuela
Arianny Peraza

Oral Surgery Postgraduate Program, University of Zulia, Maracaibo, Venezuela
Mari Solvey Vargas

Periodontics Postgraduate Program, University of Zulia, Maracaibo, Venezuela
Mariela Fox

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

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APA Style

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

Copy | Download

@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}
}

Copy | Download

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
AU  - Arianny Peraza
AU  - Mari Solvey Vargas
AU  - Mariela Fox
Y1  - 2021/07/29
PY  - 2021
N1  - https://doi.org/10.11648/j.ijcoms.20210702.11
DO  - 10.11648/j.ijcoms.20210702.11
T2  - International Journal of Clinical Oral and Maxillofacial Surgery
JF  - International Journal of Clinical Oral and Maxillofacial Surgery
JO  - International Journal of Clinical Oral and Maxillofacial Surgery
SP  - 13
EP  - 16
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
IS  - 2
ER  -

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