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Guidance and rationale for the immediate implant placement in the maxillary molar

OBJECTIVES: While the reliability of immediate implant placement in the maxillary molar has been discussed, its significance is questionable. There have been no guidelines for case selection and surgical technique for successful treatment outcomes of immediate maxillary molar implants. Therefore, in...

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Autores principales: Mustakim, Kezia Rachellea, Eo, Mi Young, Lee, Ju Young, Myoung, Hoon, Seo, Mi Hyun, Kim, Soung Min
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Association of Oral and Maxillofacial Surgeons 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9985995/
https://www.ncbi.nlm.nih.gov/pubmed/36859373
http://dx.doi.org/10.5125/jkaoms.2023.49.1.30
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author Mustakim, Kezia Rachellea
Eo, Mi Young
Lee, Ju Young
Myoung, Hoon
Seo, Mi Hyun
Kim, Soung Min
author_facet Mustakim, Kezia Rachellea
Eo, Mi Young
Lee, Ju Young
Myoung, Hoon
Seo, Mi Hyun
Kim, Soung Min
author_sort Mustakim, Kezia Rachellea
collection PubMed
description OBJECTIVES: While the reliability of immediate implant placement in the maxillary molar has been discussed, its significance is questionable. There have been no guidelines for case selection and surgical technique for successful treatment outcomes of immediate maxillary molar implants. Therefore, in this study, we classified alveolar bone height and socket morphology of the maxillary molar to establish guidelines for immediate implant placement. MATERIALS AND METHODS: From 2011 to 2019, we retrospectively analyzed 106 patients with 148 immediate implants at the Department of Oral and Maxillofacial Surgery, Seoul National University Dental Hospital. Inclusion and exclusion criteria were applied, and patient characteristics and treatment results were evaluated clinically and radiologically. RESULTS: A total of 29 tapered, sand-blasted, large-grit, and acid-etched (SLA) surfaces of implants were placed in 26 patients. The mean patient age was 64.88 years. Two implants failed and were reinstalled, resulting in a 93.10% survival rate. Fluctuating marginal bone level changes indicating bone regeneration and bone loss were observed in the first year following installation and remained stable after one year of prosthesis loading, with an average bone loss of 0.01±0.01 mm on the distal side and 0.03±0.03 mm on the mesial side. CONCLUSION: This clinical study demonstrated the significance of immediate implant placement in maxillary molars as a reliable treatment with a high survival rate using tapered SLA implants. With an accurate approach to immediate implantation, surgical intervention and treatment time can be reduced, resulting in patient satisfaction and comfort.
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spelling pubmed-99859952023-03-07 Guidance and rationale for the immediate implant placement in the maxillary molar Mustakim, Kezia Rachellea Eo, Mi Young Lee, Ju Young Myoung, Hoon Seo, Mi Hyun Kim, Soung Min J Korean Assoc Oral Maxillofac Surg Original Article OBJECTIVES: While the reliability of immediate implant placement in the maxillary molar has been discussed, its significance is questionable. There have been no guidelines for case selection and surgical technique for successful treatment outcomes of immediate maxillary molar implants. Therefore, in this study, we classified alveolar bone height and socket morphology of the maxillary molar to establish guidelines for immediate implant placement. MATERIALS AND METHODS: From 2011 to 2019, we retrospectively analyzed 106 patients with 148 immediate implants at the Department of Oral and Maxillofacial Surgery, Seoul National University Dental Hospital. Inclusion and exclusion criteria were applied, and patient characteristics and treatment results were evaluated clinically and radiologically. RESULTS: A total of 29 tapered, sand-blasted, large-grit, and acid-etched (SLA) surfaces of implants were placed in 26 patients. The mean patient age was 64.88 years. Two implants failed and were reinstalled, resulting in a 93.10% survival rate. Fluctuating marginal bone level changes indicating bone regeneration and bone loss were observed in the first year following installation and remained stable after one year of prosthesis loading, with an average bone loss of 0.01±0.01 mm on the distal side and 0.03±0.03 mm on the mesial side. CONCLUSION: This clinical study demonstrated the significance of immediate implant placement in maxillary molars as a reliable treatment with a high survival rate using tapered SLA implants. With an accurate approach to immediate implantation, surgical intervention and treatment time can be reduced, resulting in patient satisfaction and comfort. The Korean Association of Oral and Maxillofacial Surgeons 2023-02-28 2023-02-28 /pmc/articles/PMC9985995/ /pubmed/36859373 http://dx.doi.org/10.5125/jkaoms.2023.49.1.30 Text en Copyright © 2023 The Korean Association of Oral and Maxillofacial Surgeons. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0 (https://creativecommons.org/licenses/by-nc/4.0/) ), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Mustakim, Kezia Rachellea
Eo, Mi Young
Lee, Ju Young
Myoung, Hoon
Seo, Mi Hyun
Kim, Soung Min
Guidance and rationale for the immediate implant placement in the maxillary molar
title Guidance and rationale for the immediate implant placement in the maxillary molar
title_full Guidance and rationale for the immediate implant placement in the maxillary molar
title_fullStr Guidance and rationale for the immediate implant placement in the maxillary molar
title_full_unstemmed Guidance and rationale for the immediate implant placement in the maxillary molar
title_short Guidance and rationale for the immediate implant placement in the maxillary molar
title_sort guidance and rationale for the immediate implant placement in the maxillary molar
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9985995/
https://www.ncbi.nlm.nih.gov/pubmed/36859373
http://dx.doi.org/10.5125/jkaoms.2023.49.1.30
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