Department of Family Dentistry, Kaohsiung Medical University Hospital, Taiwan.
Kaohsiung J Med Sci. 2011 Aug;27(8):353-6. doi: 10.1016/j.kjms.2010.10.003. Epub 2011 May 7.
Single tooth replacement with a dental implant has become an increasingly favored treatment option in the anterior maxilla; however, bone resorption following maxillary anterior tooth extraction is very common and often compromises gingival tissue for the implant restoration. Achieving predictable peri-implant esthetics requires a proper understanding and preservation of the osseous and gingival tissue surrounding the failing tooth. Therefore, the key to maintaining the interproximal papillae is to preserve the osseous support with minimally invasive extraction. An immediate implant insertion after tooth extraction may maintain the crest bone and the interdental papillae, thus achieving peri-implant esthetics. This article describes the detailed treatment planning and meticulous techniques in immediate implant placement that reduce treatment time and maintain functional as well as esthetic results through a 6-year follow-up.
单颗牙种植已成为前上颌牙缺失的首选治疗方法之一；然而，上颌前牙拔除后骨吸收很常见，这常常会影响到种植体修复的牙龈组织。要获得可预测的种植体周围美学效果，需要正确理解和保留失败牙齿周围的骨组织和牙龈组织。因此，维持牙周乳头的关键在于通过微创拔牙来保留骨支持。拔牙后立即植入种植体可以维持牙槽嵴顶和牙间乳头，从而获得种植体周围的美学效果。本文通过 6 年的随访，详细介绍了即刻种植中详细的治疗计划和精细技术，通过减少治疗时间，同时维持功能和美学效果。
