Horizontal Bone Augmentation with Simultaneous Implant Placement in the Aesthetic Region: A Case Report and Review of the Current Evidence
This study aimed to describe a case of simultaneous guided bone regeneration (GBR) and implant placement in a patient with prior aesthetic implant failure, focusing on achieving optimal aesthetic and functional outcomes, and to perform a literature review of the current evidence. A 38-year-old male...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2024-11-01
|
| Series: | Medicina |
| Subjects: | |
| Online Access: | https://www.mdpi.com/1648-9144/60/11/1786 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1846152995313549312 |
|---|---|
| author | Izzetti Rossana Cinquni Chiara Alfonsi Fortunato Nisi Marco Covelli Michele Garcia Mira Berta Priami Mattia Barone Antonio |
| author_facet | Izzetti Rossana Cinquni Chiara Alfonsi Fortunato Nisi Marco Covelli Michele Garcia Mira Berta Priami Mattia Barone Antonio |
| author_sort | Izzetti Rossana |
| collection | DOAJ |
| description | This study aimed to describe a case of simultaneous guided bone regeneration (GBR) and implant placement in a patient with prior aesthetic implant failure, focusing on achieving optimal aesthetic and functional outcomes, and to perform a literature review of the current evidence. A 38-year-old male presented with an improperly positioned implant at the level of the right upper central (tooth 2.1), leading to aesthetic and functional issues. The initial assessment included a panoramic radiograph revealing marginal bone loss and an enlarged peri-implant space, necessitating implant removal. Following implant removal and provisional restoration, the patient was re-evaluated for subsequent therapeutic treatments. The patient underwent orthodontic treatment to improve mesio-distal spacing, followed by surgical intervention involving GBR and simultaneous implant placement. The GBR procedure utilised bone substitutes and resorbable membranes, with soft tissue augmentation conducted subsequently. The surgical intervention involved local anaesthesia, flap design, defect assessment, and palatally oriented implant placement. GBR was then performed. After six months, implant uncovering and soft tissue augmentation were conducted. The implant was loaded with a screwed restoration following complete hard and soft tissue healing. The patient was monitored every six months for two years, then annually. At the 10-year follow-up, no signs of bone resorption or soft tissue inflammation were observed. This case demonstrated that GBR and simultaneous implant placement, with the application of advanced biomaterials, effectively promoted osseointegration and maintained aesthetic and functional stability over a decade. |
| format | Article |
| id | doaj-art-4cc9416f48e948e08781013cafc19e6e |
| institution | Kabale University |
| issn | 1010-660X 1648-9144 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj-art-4cc9416f48e948e08781013cafc19e6e2024-11-26T18:12:24ZengMDPI AGMedicina1010-660X1648-91442024-11-016011178610.3390/medicina60111786Horizontal Bone Augmentation with Simultaneous Implant Placement in the Aesthetic Region: A Case Report and Review of the Current EvidenceIzzetti Rossana0Cinquni Chiara1Alfonsi Fortunato2Nisi Marco3Covelli Michele4Garcia Mira Berta5Priami Mattia6Barone Antonio7Department of Surgical, Medical, Molecular Pathology and of the Critical Area, University of Pisa, 56126 Pisa, ItalyDepartment of Surgical, Medical, Molecular Pathology and of the Critical Area, University of Pisa, 56126 Pisa, ItalyDepartment of Surgical, Medical, Molecular Pathology and of the Critical Area, University of Pisa, 56126 Pisa, ItalyDepartment of Surgical, Medical, Molecular Pathology and of the Critical Area, University of Pisa, 56126 Pisa, ItalyDepartment of Medicine and Surgery, LUM University, 70010 Bari, ItalyDepartment of Stomatology, University of Valencia, 46010 Valencia, SpainDepartment of Surgical, Medical, Molecular Pathology and of the Critical Area, University of Pisa, 56126 Pisa, ItalyDepartment of Surgical, Medical, Molecular Pathology and of the Critical Area, University of Pisa, 56126 Pisa, ItalyThis study aimed to describe a case of simultaneous guided bone regeneration (GBR) and implant placement in a patient with prior aesthetic implant failure, focusing on achieving optimal aesthetic and functional outcomes, and to perform a literature review of the current evidence. A 38-year-old male presented with an improperly positioned implant at the level of the right upper central (tooth 2.1), leading to aesthetic and functional issues. The initial assessment included a panoramic radiograph revealing marginal bone loss and an enlarged peri-implant space, necessitating implant removal. Following implant removal and provisional restoration, the patient was re-evaluated for subsequent therapeutic treatments. The patient underwent orthodontic treatment to improve mesio-distal spacing, followed by surgical intervention involving GBR and simultaneous implant placement. The GBR procedure utilised bone substitutes and resorbable membranes, with soft tissue augmentation conducted subsequently. The surgical intervention involved local anaesthesia, flap design, defect assessment, and palatally oriented implant placement. GBR was then performed. After six months, implant uncovering and soft tissue augmentation were conducted. The implant was loaded with a screwed restoration following complete hard and soft tissue healing. The patient was monitored every six months for two years, then annually. At the 10-year follow-up, no signs of bone resorption or soft tissue inflammation were observed. This case demonstrated that GBR and simultaneous implant placement, with the application of advanced biomaterials, effectively promoted osseointegration and maintained aesthetic and functional stability over a decade.https://www.mdpi.com/1648-9144/60/11/1786guided bone regenerationdental implantsbiomaterials |
| spellingShingle | Izzetti Rossana Cinquni Chiara Alfonsi Fortunato Nisi Marco Covelli Michele Garcia Mira Berta Priami Mattia Barone Antonio Horizontal Bone Augmentation with Simultaneous Implant Placement in the Aesthetic Region: A Case Report and Review of the Current Evidence Medicina guided bone regeneration dental implants biomaterials |
| title | Horizontal Bone Augmentation with Simultaneous Implant Placement in the Aesthetic Region: A Case Report and Review of the Current Evidence |
| title_full | Horizontal Bone Augmentation with Simultaneous Implant Placement in the Aesthetic Region: A Case Report and Review of the Current Evidence |
| title_fullStr | Horizontal Bone Augmentation with Simultaneous Implant Placement in the Aesthetic Region: A Case Report and Review of the Current Evidence |
| title_full_unstemmed | Horizontal Bone Augmentation with Simultaneous Implant Placement in the Aesthetic Region: A Case Report and Review of the Current Evidence |
| title_short | Horizontal Bone Augmentation with Simultaneous Implant Placement in the Aesthetic Region: A Case Report and Review of the Current Evidence |
| title_sort | horizontal bone augmentation with simultaneous implant placement in the aesthetic region a case report and review of the current evidence |
| topic | guided bone regeneration dental implants biomaterials |
| url | https://www.mdpi.com/1648-9144/60/11/1786 |
| work_keys_str_mv | AT izzettirossana horizontalboneaugmentationwithsimultaneousimplantplacementintheaestheticregionacasereportandreviewofthecurrentevidence AT cinqunichiara horizontalboneaugmentationwithsimultaneousimplantplacementintheaestheticregionacasereportandreviewofthecurrentevidence AT alfonsifortunato horizontalboneaugmentationwithsimultaneousimplantplacementintheaestheticregionacasereportandreviewofthecurrentevidence AT nisimarco horizontalboneaugmentationwithsimultaneousimplantplacementintheaestheticregionacasereportandreviewofthecurrentevidence AT covellimichele horizontalboneaugmentationwithsimultaneousimplantplacementintheaestheticregionacasereportandreviewofthecurrentevidence AT garciamiraberta horizontalboneaugmentationwithsimultaneousimplantplacementintheaestheticregionacasereportandreviewofthecurrentevidence AT priamimattia horizontalboneaugmentationwithsimultaneousimplantplacementintheaestheticregionacasereportandreviewofthecurrentevidence AT baroneantonio horizontalboneaugmentationwithsimultaneousimplantplacementintheaestheticregionacasereportandreviewofthecurrentevidence |