Our Summary

This research paper investigates the effect of adding a connective tissue graft (CTG) during the process of an immediate implant placement (IIP), specifically looking at changes to the soft tissue in the mid-face. The researchers reviewed a number of studies to compare the outcomes of IIPs done with and without a CTG. They found that using a CTG resulted in less change to the vertical mid-facial soft tissue and a lower risk of asymmetry in that area. It also seemed to reduce bleeding. However, they did not find a significant difference in other measures like the aesthetic appearance of the gum, the change in bone level around the implant, and the depth of the area being probed. The researchers conclude that adding a CTG during an IIP can help maintain the stability of the soft tissue in the mid-face and should be considered especially for patients at higher risk of recession in the aesthetic zone.

FAQs

  1. What is the effect of adding a connective tissue graft during the process of an immediate implant placement?
  2. Does using a connective tissue graft during immediate implant placement reduce the risk of asymmetry in the mid-face?
  3. What are the benefits of adding a connective tissue graft during an immediate implant placement for patients at higher risk of recession in the aesthetic zone?

Doctor’s Tip

One helpful tip a doctor might tell a patient about dental implant surgery is to follow post-operative care instructions carefully to ensure proper healing and successful integration of the implant. This may include avoiding hard or crunchy foods, practicing good oral hygiene, and attending follow-up appointments with the dentist. It is also important to inform the dentist of any discomfort or issues that arise during the healing process.

Suitable For

Patients who are typically recommended dental implant surgery include those who have lost one or more teeth due to injury, decay, or periodontal disease. Candidates for dental implant surgery should have good overall oral health, adequate bone density in the jaw to support the implant, and healthy gums. Patients with uncontrolled chronic diseases such as diabetes, heart disease, or autoimmune disorders may not be good candidates for dental implant surgery.

Additionally, patients who smoke or have a history of radiation therapy to the head and neck area may have a higher risk of complications and may not be ideal candidates for dental implant surgery. It is important for patients to have realistic expectations about the outcome of the procedure and be committed to maintaining good oral hygiene to ensure the success of the dental implants.

Timeline

Before dental implant surgery:

  • Patient undergoes a consultation with the dentist to determine if they are a suitable candidate for dental implants.
  • Diagnostic tests such as X-rays and CT scans are performed to assess the health of the jawbone and surrounding tissues.
  • Treatment plan is created, outlining the specific steps of the implant surgery.
  • Patient may undergo pre-operative procedures such as tooth extractions or bone grafting if necessary.

After dental implant surgery:

  • Patient may experience some discomfort and swelling immediately after the surgery.
  • Follow-up appointments are scheduled to monitor the healing process and ensure the implant is integrating properly with the jawbone.
  • Temporary restoration may be placed to maintain aesthetics and function during the healing period.
  • Once the implant has fully integrated, a permanent restoration (such as a crown or denture) is placed on top of the implant.
  • Patient is advised on proper oral hygiene practices to maintain the longevity of the dental implant.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with dental implant surgery?
  2. How long is the recovery period after dental implant surgery?
  3. What type of anesthesia will be used during the procedure?
  4. How many implants will be placed, and where will they be located?
  5. Will I need a bone graft or sinus lift before the implant surgery?
  6. What is the success rate of dental implant surgery in general, and what factors can affect the success of my procedure?
  7. How long do dental implants typically last, and how do I care for them to ensure their longevity?
  8. What is the cost of dental implant surgery, and will my insurance cover any part of the procedure?
  9. Can you provide me with before and after photos of patients who have undergone dental implant surgery?
  10. Are there any alternative treatments to dental implants that I should consider?

Reference

Authors: Seyssens L, De Lat L, Cosyn J. Journal: J Clin Periodontol. 2021 Feb;48(2):284-301. doi: 10.1111/jcpe.13397. Epub 2020 Nov 20. PMID: 33125754