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Factors Influencing Immediate Maxillary Dental Implant Placement and Bone Resorption: A Review of the Literature and an Outlook on the Clinical Possibilities

机译:影响立即上颌牙种植体植入和骨吸收的因素:文献综述和临床可能性的展望

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Abstract The insertion of dental implants immediately after teeth extractions has become a routine clinical procedure in implant dentistry, despite difficulties derived from several factors influencing bone resorption. The aim of this study is to evaluate the survival rate of implant positioned immediately after tooth extraction in the upper maxilla and to analyze the surgical techniques and the parameters to minimize physiological bone resorption. An electronic search in MEDLINE (PubMed) and the Cochrane library was performed to analyze the factors that may influence physiological bone resorption during immediate implant placement: surgical technique, position of the implant and bone grafting. Immediate implant placement is a predictable technique with a high success rate. It does not prevent bone resorption subsequent to tooth extraction, but there are some parameters to take into account to minimize the bone resorption itself. Despite the high survival rate, more long-term studies are necessary to evaluate the success of implants placed immediately into fresh extraction sockets in the upper maxillary. Special attention has to be given to aesthetic outcomes.
机译:摘要尽管有几个影响骨吸收的因素带来的困难,拔牙后立即插入牙种植体已成为种植体牙科的常规临床程序。这项研究的目的是评估上颌骨拔牙后立即定位的植入物的存活率,并分析手术技术和参数以最大程度地减少生理性骨吸收。在MEDLINE(PubMed)和Cochrane库中进行了电子搜索,以分析可能影响立即植入植入物期间生理性骨吸收的因素:手术技术,植入物的位置和植骨。立即植入植入物是一种可预见的技术,成功率很高。它不能防止拔牙后的骨吸收,但是要考虑一些参数以最小化骨吸收本身。尽管存活率很高,但仍需要进行更长期的研究,以评估将植入物立即放入上颌新鲜拔牙窝的成功率。必须特别注意美学效果。

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