[Unconventional transradicular implant placement to avoid invasive surgeries: toward a potential paradigm shift].
The authors had for aim to present a new minimally-invasive protocol to rehabilitate anterior maxillary edentulism due to an impacted tooth. The implant is placed without removing the impacted tooth, which intercepts the implant trajectory. The inclusion/exclusion criteria have not been defined yet but this protocol goes against the consensual concept that no implant surface other than implant-bone interface should be tolerated. New implant-tissue interfaces are created in addition to the usual one, but this does not seem to jeopardize the prognosis of implants. The risk analysis shows that there is a growing corpus of reliable clinical and histological data to support this unconventional protocol. The overall follow-up covers from a 6-month to an 8-year period. This protocol should be more broadly documented before it can be used routinely; nevertheless it suggests that some of the leading concepts in dental implantology may be revisited.
Centre de réhabilitation orale (ORC), hôpital Américain de Paris, 36, rue de Lubeck, 75116 Paris, France. davarpanah@perioimplant.fr
M
M
Davarpanah
S
S
Szmukler-Moncler
K
K
Davarpanah
P
P
Rajzbaum
S
S
de Corbière
N
N
Capelle-Ouadah
G
G
Demurashvili
D003481:Cuspid / Q000601:surgery; D003757:Dental Implantation / Q000379:methods* / Q000639:trends; D019250:Dental Implants, Single-Tooth; D017267:Dental Prosthesis Design; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000379:methods / Q000706:statistics & numerical data* / Q000639:trends*; D008954:Models, Biological; D014081:Tooth Extraction / Q000379:methods / Q000706:statistics & numerical data; D014095:Tooth, Impacted / Q000601:surgery*