Immediate dentoalveolar restoration (IDR) of central maxillary incisor using sinus lateral wall block graft to regenerate loss of facial and palatal bone: Literature review and 1 year follow-up.

Replacement of missing or hopeless teeth in the esthetic zone is one of dentistry's most critical challenges. In the past, multiple surgical procedures have been needed to reconstruct compromised extraction sites. The surgeries have been associated with long healing times and increased morbidity, all the while patients are using either fixed or removable interim restorations. The procedures identified in this paper minimize surgical operating times, healing times, and delays in obtaining definitive restorations by combining multiple surgical procedures in one visit. The procedures are technique sensitive. This particular patient has been followed for 1 year post-operatively with clinical photographs and CBCT scans. Excellent clinical results were obtained. Benefits and limitations of the procedures have also been identified.

Clinical, Tomographic, and Histologic Evaluation of an Autogenous Bone Graft Harvested from the Maxillary Tuberosity for Guided Bone Regeneration: Case Report with a 4-Year Follow-up.

This report presents a case in which autogenous bone grafts were harvested from the maxillary tuberosity for guided bone regeneration and dental implant placement, with long-term follow-ups and assessment at the clinical, tomographic, and histologic levels. Particulate and block autogenous bone grafts were covered with a resorbable collagen membrane. Advanced bone remodeling and good bone quality, enabling dental implant placement, were observed after a short healing time (3 months). The differences in buccal bone plate thickness in the grafted area between the period immediately after implant placement and 4 years thereafter ranged from +0.879 mm to -0.001 mm. The implants osseointegrated uneventfully, and alveolar bone regeneration remained stable with a satisfactory result after 4 years.

Use of the Immediate Dentoalveolar Restoration Technique Combined with Osseodensification in Periodontally Compromised Extraction Sites.

This article describes the combined use of the immediate dentoalveolar restoration (IDR) technique and the osseodensification implant site preparation method to improve immediate implant primary stability in periodontally compromised extraction sites. Positioning of soft and hard tissues was evaluated in two clinical cases in which the IDR technique and the osseodensification implant site preparation method were used to replace teeth at sites with severe alveolar bone loss. The results were analyzed by clinical assessment, photography, radiography, and computed tomography scans. Based on this preliminary study, the use of osseodensification can enhance the results achieved using the IDR technique due to improved primary implant stability, as measured by higher insertion torque.

Post-traumatic treatment of maxillary incisors by immediate dentoalveolar restoration with long-term follow-up.

Replacing both missing maxillary anterior teeth is particularly challenging, especially in compromised sockets. This case report describes the management of an 18-year-old female patient, who suffered avulsion of both maxillary central incisors at 7 years of age. This multidisciplinary implant technique, called Immediate Dentoalveolar Restoration (IDR), included extraction of the injured teeth and a single procedure for immediate implant placement and restoration of the compromised sockets after root fracture and periapical lesion development were detected during orthodontic treatment. Successful esthetic and functional outcomes and reestablishment of the alveolar process after bone reconstruction were observed during the 3-year follow-up period. The predictable esthetic outcomes and soft- and hard-tissue stability that can be achieved following IDR are demonstrated.

Immediate implant placement, reconstruction of compromised sockets, and repair of gingival recession with a triple graft from the maxillary tuberosity: a variation of the immediate dentoalveolar restoration technique.

Immediate implant placement into compromised sockets is challenging for clinicians. The 3-dimensional implant position, status of the buccal bone wall, and regeneration of the soft tissue contours all affect adequate esthetic and functional results. This clinical report presents a treatment protocol (a variation of the immediate dentoalveolar restoration concept) consisting of immediate implantation and the reconstruction of the buccal bone wall and gingival recession in a single procedure with a triple graft (cancellous and cortical bone and soft tissue graft).