Use of reactive soft tissue for primary wound closure during immediate implant placement: a two-year retrospective study

软组织 医学 口腔给药 裂开 牙科 植入 外科
作者
Y. Liu,Yilin Chen,Chenyu Chu,Yili Qu,Yi Man
出处
期刊:International Journal of Oral and Maxillofacial Surgery [Elsevier BV]
卷期号:51 (8): 1085-1092 被引量:2
标识
DOI:10.1016/j.ijom.2022.02.002
摘要

Sockets with both hard and soft tissue defects present a challenge for immediate implant placement. A modified technique harnessing the reactive soft tissue in the extraction socket for primary closure has been reported to contribute to hard and soft tissue augmentation after immediate implantation. The aim of this study was to evaluate the effects of this novel technique on the hard and soft tissues of sockets with both buccal bone and soft tissue defects (group B) and to compare the outcomes with those obtained for sockets with intact soft tissue but buccal bone dehiscence (group A). Thirty-two implants placed in the posterior region were included: 17 in group A, 15 in group B. The implants were inserted immediately utilizing reactive soft tissue from the socket for primary closure in both groups. The changes in buccal bone dimensions after 6 months were generally comparable between the two groups. A keratinized mucosa reduction of 0.56 mm in group A and keratinized mucosa gain of 0.67 mm in group B were observed at 6 months (P = 0.009). The bone and soft tissue levels were well maintained in both groups after 2 years. This technique may be a potential treatment method for tissue augmentation during immediate implantation in posterior sockets, even when a buccal bony defect and mucogingival recession need to be repaired at the same time.
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