title: Alveolar Ridge Dimension 6 Months After Implant Placement with Simultaneous Hard Tissue Augmentation.
abstract: OBJECTIVE
  When failing front teeth are replaced by implants, vestibular bone deficiencies frequently require augmentation, even though the amount of missing alveolar volume may vary. The objective of this study was to analyze the horizontal alveolar ridge dimension after implant placement and simultaneous augmentation, and to compare it to the condition at the contralateral natural site.
  
  
  METHODS
  Forty-eight patients with a failing maxillary incisor received an immediate or early implant (Straumann Bone Level), according to a randomized study protocol. The vestibular wall of the implant site was reconstructed and moderately overcontoured with bovine hydroxyapatite and a collagen membrane (BioOss, BioGide, Geistlich). Provisional restoration followed either immediately, or after a 6-week healing period. To investigate the vestibular volume 6 months after surgery, a plaster model of the maxilla was scanned with cone beam computed tomography (CBCT; Morita 3D) and evaluated using coDiagnostiX software (Dental Wings). Statistical analysis comprised one- and two-sample t tests.
  
  
  RESULTS
  The ridge volume was not significantly influenced by the treatment schedule. The vestibular segments had a mean ± SD volume of 207.9 ± 102.5 mm³ for the implant sites, and 202.1 ± 101.5 mm³ for the corresponding natural sites (P = .28). The difference in vestibular volume between implant sites and natural tooth sites was 10.4 ± 36.2 mm³ for immediate implantation, and 0.00 ± 31.1 mm³ for early implantation (P = .32). Comparing immediate and early restoration, a difference of 0.4 mm³ and 12.5 mm³ between the implant and contralateral site was found (P = .23).
  
  
  CONCLUSIONS
  Six months after treatment, no significant differences between the alveolar volumes at augmented implant sites and natural sites were found. Moderate buccal overcontouring may have been beneficial to achieve a symmetrical contour. Long-term follow-up investigation will document if the restored volume remains stable over time.
authors.forename: Siegfried Martin
authors.initials: SM
authors.lastname: Heckmann
authors.forename: Barbara
authors.initials: B
authors.lastname: Mörtlbauer
authors.forename: Dominik
authors.initials: D
authors.lastname: Rieder
authors.forename: Manfred
authors.initials: M
authors.lastname: Wichmann
authors.forename: Tim
authors.initials: T
authors.lastname: Krafft
authors.forename: Antonios
authors.initials: A
authors.lastname: Moralis
mesh_terms: D000328:Adult; D000368:Aged; D016301:Alveolar Bone Loss / Q000534:rehabilitation*; D000539:Alveolar Process / Q000473:pathology / Q000601:surgery; D000540:Alveolar Ridge Augmentation / Q000379:methods*; D003094:Collagen / Q000627:therapeutic use; D054893:Cone-Beam Computed Tomography / Q000379:methods; D003758:Dental Implantation, Endosseous / Q000379:methods*; D019250:Dental Implants, Single-Tooth; D005260:Female; D006801:Humans; D006882:Hydroxyapatites / Q000627:therapeutic use; D007576:Jaw, Edentulous, Partially / Q000534:rehabilitation*; D008297:Male; D008437:Maxilla / Q000601:surgery; D008567:Membranes, Artificial; D008875:Middle Aged
chemical_list: D006882:Hydroxyapatites; D008567:Membranes, Artificial; C475044:hydroxyapatite cement; D003094:Collagen