Does Immediate Reconstruction of Postextraction Lost Buccal Plate Reduce the Chances of Implant Surface Exposure after Crown Placement.docVIP

Surgical Science, 2013, 4, 110-113 /10.4236/ss.2013.41020 Published Online January 2013 (/journal/ss) Does Immediate Reconstruction of Postextraction Lost Buccal Plate Reduce the Chances of Implant Surface Exposure after Crown Placement? Mazen Almasri Oral Maxillofacial Surgery Department (Implant Surgery Unit), Umm Alqura University, Mecca, KSA Email: mazen_ajm@ Received November 21, 2012; revised December 23, 2012; accepted January 2, 2013 ABSTRACT Objective: To investigate if immediate reconstruction of fresh extraction sockets’ lost buccal wall would reduce the possibilities of implant surface exposure and improve the treatment predictability. Materials and Methods: A retro- spective chart review of Healthy patients harboring periodontally compromised anterior teeth that were planned for ex- traction and subsequent implant therapy were the target of our study. All the sockets included witnessed loss of the buccal bone plate. Seventy-two anterior sockets were grafted with xenogenic grafts to reconstruct such defects immedi- ately after the extractions. 9 to 13 months later, the alveolar ridges were surgically exposed and implants were placed. Results: All the surgical sites did not show any labial plate thinning, dehiscence, or fenestration at the time of implant placement. Moreover, no gingival recession and implant metal show was noticed up to 39 months post crown placement. Conclusion: Immediate reconstructions of lost buccal plate in fresh extraction sockets reduces the chances of implant surface exposure up to two years post crown placement. Keywords: Immediate Socket Reconstruction; Implant Exposure 1. Introduction dergo is atraumatic dental extraction which is often more difficult to accomplish in endodontically treated teeth, ankylosed, and previously traumatized teeth [3]. The use of a thin periotome elevator will help luxating the roots, however, care should be taken to maintain an intact buc