Deporter Douglas, Khoshkhounejad Ali Akbar, Khoshkhounejad Nikfam, Ketabi Mohammad
Discipline of Periodontology and Oral Reconstructive Center, Tehran University of Medical Science, Isfahan, Iran.
Department of Periodontics, Tehran University of Medical Science, Isfahan, Iran.
Dent Res J (Isfahan). 2021 Apr 6;18:29. eCollection 2021.
Based on our collective experiences with gap management around immediate dental implants, we have proposed a classification of gap type based on the location in relation to implant periphery. Seven types are proposed, and all but one type should heal without gap grafting provided that flap-less surgery and atraumatic extraction have been achieved. The exception is our Type II gap where the implant has been placed too far buccally leaving a gap only on the lingual/palatal. In this case, the lingual/palatal gap need not be grafted, but the buccal aspect of the implant should best to augmented to avoid the complications.
基于我们在即刻牙种植体间隙管理方面的共同经验，我们根据间隙相对于种植体周边的位置提出了一种间隙类型分类。我们提出了七种类型，并且除了一种类型外，如果实现了无瓣手术和无创拔牙，其余所有类型都应无需间隙植骨即可愈合。例外情况是我们的II型间隙，即种植体放置得过于偏向颊侧，仅在舌侧/腭侧留下间隙。在这种情况下，舌侧/腭侧间隙无需植骨，但种植体的颊侧最好进行增量处理以避免并发症。
