To evaluate a novel technique of bone regeneration and simultaneous implant placement in severely damaged sockets.
Patients requiring a single implant, presenting severe facial bone loss as a result of previous infection, failed socket grafting or trauma, will enter this cross-sectional study. Socket reconstruction and simultaneous implant placement will be performed through periosteal-guided bone regeneration (PGBR). Implant timing: immediate or delayed. Implants will be encased in a customized shield of autogenous cortical bone harvested from an adjacent site. A re-entry surgery will be performed at 12-17-weeks to evaluate bone regeneration. Peri-implant tissues will be assessed following established success criteria. Implants will be evaluated for the presence of Periimplantitis.
Study Type
OBSERVATIONAL
Enrollment
34
Fernando Verdugo, DDS, Corp
Los Angeles, California, United States
Individuals presenting alveolar Facial Bone regeneration at re-entry
Bone regeneration of the dent-alveolar socket
Time frame: 1 year
Pink Esthetic Scores
Scores 1-10: the higher the score the better the esthetic outcome. Evaluates soft tissue esthetics around the regenerated bone \& implant: mesial \& distal papillae, curvature of facial mucosa, level of facial mucosa, root convexity/soft tissue color \& texture
Time frame: 1 year
Facial implant transparency
Presence of implant transparency at 1 year follow-up: Yes/No
Time frame: 1 year
Band of Keratinized tissue
Evaluation of the presence of a band of keratinized tissue around the implant: \> 2mm or \< 2mm
Time frame: 1 year
Implant crestal bone loss
Radiographic evaluation of peri-implant marginal crestal bone loss
Time frame: 1 year
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