Clinical failures and shortfalls of immediate implant procedures.
The esthetic outcome of dental implants in the esthetic zone is a major treatment concern in modern dentistry, especially in single-step procedures, which unite extraction, implantation, and augmentation into one surgical intervention, and are gaining popularity. Although these procedures offer advantages concerning early soft tissue preservation, they also show a high risk of complications when careful patient selection is neglected. Thus, the aim of this article is to illustrate the complexity and limitations of immediate implant procedures using two case reports. The clinical cases and scientific data show that immediate implant placement must be divided into two different groups: single-tooth implants and multiple adjacent implants. While immediate placement of single-tooth implants often shows predictable and superior esthetic results, the immediate placement of multiple adjacent implants is far less predictable. It is important to establish whether the advantages observed in single-tooth applications are also feasible for multiple adjacent implants.
Hürzeler
Markus B
MB
Department of Operative Dentistry and Periodontics, School of Dental Medicine, Albert-Ludwigs-University, Freiburg, Germany. markus@huerzeler.biz
Fickl
Stefan
S
Zuhr
Otto
O
Wachtel
Hannes
H
D000328:Adult; D000540:Alveolar Ridge Augmentation; D016025:Bone Transplantation; D003442:Crowns; D000044:Dental Abutments; D003758:Dental Implantation, Endosseous / Q000009:adverse effects*; D015921:Dental Implants / Q000009:adverse effects*; D019250:Dental Implants, Single-Tooth / Q000009:adverse effects; D019094:Dental Prosthesis, Implant-Supported; D003825:Denture, Complete, Immediate; D004955:Esthetics, Dental; D005260:Female; D005500:Follow-Up Studies; D005889:Gingival Recession / Q000209:etiology; D006801:Humans; D008875:Middle Aged; D016348:Osseointegration / Q000502:physiology; D018579:Patient Selection; D010510:Periodontal Diseases / Q000628:therapy; D012307:Risk Factors; D014081:Tooth Extraction; D020390:Tooth Socket / Q000601:surgery; D017211:Treatment Failure
D015921:Dental Implants