PMID- 19281503
OWN - NLM
STAT- MEDLINE
DCOM- 20090928
LR  - 20090615
IS  - 1600-0501 (Electronic)
IS  - 0905-7161 (Linking)
VI  - 20
IP  - 5
DP  - 2009 May
TI  - Soft tissues healing at immediate transmucosal implants placed into molar 
      extraction sites with buccal self-contained dehiscences. A 12-month controlled 
      clinical trial.
PG  - 482-8
LID - 10.1111/j.1600-0501.2008.01688.x [doi]
AB  - AIM: To assess soft tissues healing at immediate transmucosal implants placed 
      into molar extraction sites with buccal self-contained dehiscences. MATERIAL AND 
      METHODS: For this 12-month controlled clinical trial, 15 subjects received 
      immediate transmucosal tapered-effect (TE) implants placed in molar extraction 
      sockets displaying a buccal bone dehiscence (test sites) with a height and a 
      width of > or =3 mm, respectively. Peri-implant marginal defects were treated 
      according to the principles of Guided Bone Regeneration (GBR) by means of 
      deproteinized bovine bone mineral particles in conjunction with a bioresorbable 
      collagen membrane. Fifteen subjects received implants in healed molar sites 
      (control sites) with intact buccal alveolar walls following tooth extraction. In 
      total, 30 TE implants with an endosseous diameter of 4.8 mm and a shoulder 
      diameter of 6.5 mm were used. Flaps were repositioned and sutured, allowing 
      non-submerged, transmucosal soft tissues healing. At the 12-month follow-up, 
      pocket probing depths (PPD) and clinical attachment levels (CAL) were compared 
      between implants placed in the test and the control sites, respectively. RESULTS: 
      All subjects completed the 12-month follow-up period. All implants healed 
      uneventfully, yielding a survival rate of 100%. After 12 months, statistically 
      significantly higher (P<0.05) PPD and CAL values were recorded around implants 
      placed in the test sites compared with those placed in the control sites. 
      CONCLUSIONS: The findings of this controlled clinical trial showed that healing 
      following immediate transmucosal implant installation in molar extraction sites 
      with wide and shallow buccal dehiscences yielded less favorable outcomes compared 
      with those of implants placed in healed sites, and resulted in lack of 'complete' 
      osseointegration.
FAU - Siciliano, V Iorio
AU  - Siciliano VI
AD  - Department of Dental and Maxillofacial Sciences, University of Naples Federico 
      II, Naples, Italy.
FAU - Salvi, G E
AU  - Salvi GE
FAU - Matarasso, S
AU  - Matarasso S
FAU - Cafiero, C
AU  - Cafiero C
FAU - Blasi, A
AU  - Blasi A
FAU - Lang, N P
AU  - Lang NP
LA  - eng
PT  - Controlled Clinical Trial
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20090304
PL  - Denmark
TA  - Clin Oral Implants Res
JT  - Clinical oral implants research
JID - 9105713
RN  - 0 (Bio-Oss)
RN  - 0 (Minerals)
MH  - Adult
MH  - Animals
MH  - Bone Matrix/transplantation
MH  - Cattle
MH  - Chi-Square Distribution
MH  - Crowns
MH  - Dental Implantation, Endosseous/*methods
MH  - *Dental Implants, Single-Tooth
MH  - Dental Prosthesis, Implant-Supported
MH  - Dental Restoration Failure
MH  - Female
MH  - Follow-Up Studies
MH  - Guided Tissue Regeneration, Periodontal/methods
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Minerals/therapeutic use
MH  - Molar
MH  - Mouth Mucosa/physiology
MH  - Osseointegration/drug effects/*physiology
MH  - Periodontal Index
MH  - Prospective Studies
MH  - Surgical Wound Dehiscence/*complications/therapy
MH  - Tooth Extraction
MH  - Tooth Socket/drug effects/*surgery
MH  - Wound Healing/drug effects/*physiology
EDAT- 2009/03/14 09:00
MHDA- 2009/09/29 06:00
CRDT- 2009/03/14 09:00
PHST- 2009/03/14 09:00 [entrez]
PHST- 2009/03/14 09:00 [pubmed]
PHST- 2009/09/29 06:00 [medline]
AID - CLR1688 [pii]
AID - 10.1111/j.1600-0501.2008.01688.x [doi]
PST - ppublish
SO  - Clin Oral Implants Res. 2009 May;20(5):482-8. doi: 
      10.1111/j.1600-0501.2008.01688.x. Epub 2009 Mar 4.