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Case Study: Immediate Molar Replacement

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Immediate Molar Replacement Introduction: The utilization of dental implants as a viable treatment option for the management of missing teeth has proved to be a successful and predictable option. (1) The original protocol proposed by Branemark (2) involved the placement of an implant in an edentulous area after adequate healing following tooth loss. The placed implant should be submerged and covered for periods ranging between six to eight months to allow for adequate healing without any exposure to the oral environment to prevent infection and provide better primary stability. Following the healing period, a second surgical procedure is performed to uncover the implant and allow for its prosthetic rehabilitation. Based on the success of the …show more content…

(13-15) Another back fall of this approach is the inability to achieve primary closure due to lack of enough soft tissue specially with thin biotypes, (16) which may result in flap dehiscence specially when guided bone regeneration techniques are employed in conjunction with the implant placement. (17-19) There is also a high probability of incorrect implant positioning in an occluso-apical orientation due to lack of ideal visibility of the vertical endpoint of the implant in the extraction socket resulting in either too shallow or too deep placement. (20) Finally, there is an inability to properly manipulate the surrounding soft tissue to ensure the adequate volume of keratinized mucosa around the implant. …show more content…

An implant may be placed after a healing period of six months at least to ensure graft remodelling. This approach adds a little advantage over the previous one that the amount of bone loss due to socket remodelling may be reduced. But it should be notes that the resulting ridge anatomy and quality may be non-ideal and unpredictable. 3. Tooth extraction and socket grafting with flap reflection and barrier membrane: This approach includes full thickness flap reflection and the use of a barrier membrane to protect the graft material. An implant could be placed after a period of at least six months. This treatment option is most beneficial specially when the buccal plate of bone is damaged or missing, therefore the ridge could be built up to the ideal dimensions and form for proper implant placement. Among the drawbacks of this approach is the possible loss of an intact buccal plate due to the remodelling associated with flap reflection and also the loss of keratinized mucosa specially in patients demonstrating thin biotypes. 4. Tooth extraction and immediate placement of two implants (two-implant supported

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Journal of dental research, 70(9), 1262-1265. Russell, R. C., Pribaz, J., Zook, E. G., Leighton, W. D., Eriksson, E., & Smith, C. J. (1986). Functional evaluation of latissimus dorsi donor site. Plastic and reconstructive surgery, 78(3), 336-344. Van der Krogt, M. M., Sloot, L. H., Buizer, A. I., & Harlaar, J. (2015).

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Here are 3 reasons why these complications can happen. Infection It is possible to get an infection while the implant is being installed. The infection will cause the bond that forms between the implant and your jawbone to eventually disintegrate, requiring the implant’s removal. The best way to avoid an infection from happening

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In the first amputation site, anterior regeneration started with invagination then blastemal formation and patterning which led to the development of the prostomium and later, resegmentation. Posterior regeneration was slow and incomplete as the body end remained in the invagination stage with no further regeneration. In the second amputation site, anterior regeneration materialized differently than the other two sites because it began slowly at first with only a few segments visible, but eventually additional segments were added sequentially after some time. Posterior regeneration occurred faster than in the first amputation site, however, it occurred in different rates and some remained in the invagination stage without any signs of blastema formation. In the third amputation site, anterior regeneration is similar to that of the second amputation site, but no more segments were added within a month.

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On the other hand, Ramsey A. Amin argues that dental implants is not the best restorative material for missing teeth. Ramsey Amin,D.D.S writes, “Some slight bone loss over many years is normal. If you lose too much bone, you may have to replace the whole implant. The original surgery and original fabrication design of the teeth are a huge factor in the long-term health of your dental implants” (Disadvantages of Dental Implants:The Cons par.11). Ramsey is trying to explain that dental implants can overtime lose their shine and go to waste.

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Dental implants are a long term replacement of teeth that are positioned in the jawbone beneath the gums. “They are substitutes for the roots of missing teeth and act as an anchor for a replacement tooth, crown, or a set of replacement teeth” (Dominguez). Since these are implanted directly to the jawbone, the gum will need to heal first and when the post is connected to the original implant, that is when the artificial tooth will be mounted. The convenience of this technology is that the adjacent teeth do not need to be prepped or dealt with when replacing the missing teeth. When the implants are properly maintained, they can typically last a lifetime and it is recommended to always take better care of the tooth.

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