Factors Affecting Immediate Implant Placement in the Maxillary Anterior Region- A Narrative Review

Author: Shah Rohit, Vaishnav Kalpesh, Mitra Dipika, Shetty Sarika, Agrawal Sneh and Surve Neha

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Abstract

When the esthetic zone of Maxillary anterior region is to be restored, the Clinician faces a plethora of challenges which include resorption and dehiscence of buccal bone, inadequate primary stability, non-ideal placement and positioning of the implant, need for augmentation, inadequate palatal bone for Anchorage, requirement of ideal esthetics and emergence profile. The challenges of Immediate implant placement are primarily due to inadequate preoperative evaluation, errors in case selection and unavailability of bony dimensional data leading to insufficient preparation and underestimating the need for augmentation especially in immediate implantation causing failures. Also various studies have reported a wide variance in the dimensions of the alveolar bone amongst different ethnicities and populations as we all as age and gender groups. This underreported data and a lack of a standardized operating protocol can lead to compromised results when planning for immediate implant placements. There is a need to identify the parameters of the maxillary anterior segment in our local population with a special focus on the maxillary central incisor region (common site for immediate placement of dental implant) which determine the long term success of dental implants. Hence measurement and management of the same is important especially in immediate implantology. Studying these variables will be clinically relevant and may be helpful in determining the success of immediate Implants in maxillary central incisors. The study attempted to identify all the parameters. The study highlighted the importance of measuring and management of the parameters.

Keywords

Dental implant, Immediate placement, CBCT, Maxillary Central Incisors, Esthetics

Conclusion

Preoperative diagnosis and thorough treatment planning are therefore required, keeping the aforementioned factors in mind, especially when planning for immediate implant placement in the anterior esthetic zone, in order to ensure long- term stability and success.

References

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How to cite this article

Shah Rohit, Vaishnav Kalpesh, Mitra Dipika, Shetty Sarika, Agrawal Sneh and Surve Neha (2023). Factors affecting immediate implant placement in the maxillary anterior region- A narrative review. Biological Forum – An International Journal, 15(5): 1589-1594.