Complication Management in Periodontal Ligament-Mediated Implant Placement with Total Extraction of the Root: A Case Report with 4 Years Follow-up
Main Article Content
Abstract
An increasing number of studies report on periodontal ligament-mediated implant placement procedures to mitigate the biological sequel of total tooth extraction in the esthetic zone. Longitudinal results of these techniques show promising results for ridge dimensional stability achieved by partial extraction of the root followed by immediate implant placement. Nonetheless, because of the recency of these techniques, there is a dearth of clinical documentation of related complications and protocols for their management. In this case report, we present the management of a complication in an implant in the aesthetic zone utilizing the “root-membrane” technique with a four-year followup. Total extraction of the root membrane and guided bone regeneration resolved the dental-related complication
Keywords:
Complication management, PDL-mediated implant placement, root-membrane
Article Details
How to Cite
ZAMPA, Evangelia; SIORMPAS, Konstantinos; SILVESTROS, Spyridon.
Complication Management in Periodontal Ligament-Mediated Implant Placement with Total Extraction of the Root: A Case Report with 4 Years Follow-up.
Medical Research Archives, [S.l.], v. 11, n. 9, sep. 2023.
ISSN 2375-1924.
Available at: <https://esmed.org/MRA/mra/article/view/4475>. Date accessed: 15 may 2024.
doi: https://doi.org/10.18103/mra.v11i9.4475.
Section
Case Reports
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
References
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13. Siormpas KD, Mitsias ME, Kontsiotou-Siormpa E, Garber D, Kotsakis GA. Immediate implant placement in the esthetic zone utilizing the "root-membrane" technique: clinical results up to 5 years postloading. Int J Oral Maxillofac Implants. 2014;29(6):1397-1405. doi:10.11607/jomi.3707.
14. Mitsias ME, Siormpas KD, Kontsiotou-Siormpa E, Prasad H, Garber D, Kotsakis GA. A Step-by-Step Description of PDL-Mediated Ridge Preservation for Immediate Implant Rehabilitation in the Esthetic Region. Int J Periodontics Restorative Dent. 2015;35(6):835-841. doi:10.11607/prd.2148.
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16. Bramanti E, Norcia A, Cicciù M, et al. Postextraction Dental Implant in the Aesthetic Zone, Socket Shield Technique Versus Conventional Protocol. J Craniofac Surg. 2018;29(4):1037-1041. doi:10.1097/SCS.0000000000004419.
17. Gluckman H, Salama M, Du Toit J. Partial Extraction Therapies (PET) Part 1: Maintaining Alveolar Ridge Contour at Pontic and Immediate Implant Sites. Int J Periodontics Restorative Dent. 2016;36(5):681-687. doi:10.11607/prd.2783.
18. Gluckman H, Salama M, Du Toit J. Partial Extraction Therapies (PET) Part 2: Procedures and Technical Aspects. Int J Periodontics Restorative Dent. 2017;37(3):377-385. doi:10.11607/prd.3111.
19. Siormpas KD, Mitsias ME, Kotsakis GA, Tawil I, Pikos MA, Mangano FG. The Root Membrane Technique: A Retrospective Clinical Study with Up to 10 Years of Follow-Up. Implant Dent. 2018;27(5):564-574. doi:10.1097/ID.0000000000000818.
20. Siormpas KD, Leitão-Almeida B, Borges T, Kotsakis G, Mitsias ME. Aesthetic, and radiographic outcomes using the root membrane technique in immediate adjacent implant placement: A retrospective clinical study with a 5- to 9-year follow-up. Int J Oral Implantol (Berl). 2022;15(4):341-352.
21. Mitsias MM, Bratos M, Siormpas K, Pikos MA, Kotsakis GA; Root Membrane Group. Longitudinal Soft Tissue Changes During Periodontal Ligament-Mediated Immediate Implant Placement with the Root-Membrane Technique. Int J Oral Maxillofac Implants. 2020;35(2):379-385. doi:10.11607/jomi.7245.
22. Kotsakis GA, Nguyen TT, Siormpas K, et al. Clinical outcomes of retention of the buccal root section combined with immediate implant placement: A systematic review of longitudinal studies. Clin Implant Dent Relat Res. 2023;25(1):23-34. doi:10.1111/cid.13150.
23. Gharpure AS, Bhatavadekar NB. Current Evidence on the Socket-Shield Technique: A Systematic Review. J Oral Implantol. 2017;43(5):395-403. doi:10.1563/aaid-joi-D-17-00118.
24. Davarpanah M, Szmukler-Moncler S. Unconventional implant treatment: I. Implant placement in contact with ankylosed root fragments. A series of five case reports. Clin Oral Implants Res. 2009;20(8):851-856. doi:10.1111/j.1600-0501.2008.01653.x.
25. Mitsias ME, Siormpas KD, Kotsakis GA, Ganz SD, Mangano C, Iezzi G. The Root Membrane Technique: Human Histologic Evidence after Five Years of Function. Biomed Res Int. 2017;2017:7269467. doi:10.1155/2017/7269467.
26. Zuhr O, Staehler P, Huerzeler M. Complication Management of a Socket Shield Case After 6 Years of Function. Int J Periodontics Restorative Dent. 2020;40(3):409-415. doi:10.11607/prd.4648.
2. Lau SL, Chow J, Li W, Chow LK. Classification of maxillary central incisors-implications for immediate implant in the esthetic zone. J Oral Maxillofac Surg. 2011;69(1):142-153. doi:10.1016/j.joms.2010.07.074.
3. Monje A, Roccuzzo A, Buser D, Wang HL. Influence of buccal bone wall thickness on the peri-implant hard and soft tissue dimensional changes: A systematic review. Clin Oral Implants Res. 2023;34(3):157-176. doi:10.1111/clr.14029.
4. Sculean A, Stavropoulos A, Bosshardt DD. Self-regenerative capacity of intra-oral bone defects. J Clin Periodontol. 2019;46 Suppl 21:70-81. doi:10.1111/jcpe.13075.
5. Chappuis V, Engel O, Reyes M, Shahim K, Nolte LP, Buser D. Ridge alterations post-extraction in the esthetic zone: a 3D analysis with CBCT. J Dent Res. 2013;92(12 Suppl):195S-201S. doi:10.1177/0022034513506713.
6. Araújo MG, Silva CO, Misawa M, Sukekava F. Alveolar socket healing: what can we learn?. Periodontol 2000. 2015;68(1):122-134. doi:10.1111/prd.12082.
7. Avila-Ortiz G, Chambrone L, Vignoletti F. Effect of alveolar ridge preservation interventions following tooth extraction: A systematic review and meta-analysis [published correction appears in J Clin Periodontol. 2020 Jan;47(1):129]. J Clin Periodontol. 2019;46 Suppl 21:195-223. doi:10.1111/jcpe.13057.
8. Szmukler-Moncler S, Davarpanah M, Davarpanah K, Capelle-Ouadah N, Demurashvili G, Rajzbaum P. Unconventional Implant Placement Part III: Implant Placement Encroaching upon Residual Roots - A Report of Six Cases. Clin Implant Dent Relat Res. 2015;17 Suppl 2:e396-e405. doi:10.1111/cid.12256.
9. Saeidi Pour R, Zuhr O, Hürzeler M, et al. Clinical Benefits of the Immediate Implant Socket Shield Technique. J Esthet Restor Dent. 2017;29(2):93-101. doi:10.1111/jerd.12291.
10. Bäumer D, Zuhr O, Rebele S, Hürzeler M. Socket Shield Technique for immediate implant placement - clinical, radiographic and volumetric data after 5 years. Clin Oral Implants Res. 2017;28(11):1450-1458. doi:10.1111/clr.13012.
11. Hürzeler MB, Zuhr O, Schupbach P, Rebele SF, Emmanouilidis N, Fickl S. The socket-shield technique: a proof-of-principle report. J Clin Periodontol. 2010;37(9):855-862. doi:10.1111/j.1600-051X.2010.01595.x.
12. Gluckman H, Salama M, Du Toit J. A retrospective evaluation of 128 socket-shield cases in the esthetic zone and posterior sites: Partial extraction therapy with up to 4 years follow-up. Clin Implant Dent Relat Res. 2018;20(2):122-129. doi:10.1111/cid.12554.
13. Siormpas KD, Mitsias ME, Kontsiotou-Siormpa E, Garber D, Kotsakis GA. Immediate implant placement in the esthetic zone utilizing the "root-membrane" technique: clinical results up to 5 years postloading. Int J Oral Maxillofac Implants. 2014;29(6):1397-1405. doi:10.11607/jomi.3707.
14. Mitsias ME, Siormpas KD, Kontsiotou-Siormpa E, Prasad H, Garber D, Kotsakis GA. A Step-by-Step Description of PDL-Mediated Ridge Preservation for Immediate Implant Rehabilitation in the Esthetic Region. Int J Periodontics Restorative Dent. 2015;35(6):835-841. doi:10.11607/prd.2148.
15. Han CH, Park KB, Mangano FG. The Modified Socket Shield Technique. J Craniofac Surg. 2018;29(8):2247-2254. doi:10.1097/SCS.0000000000004494.
16. Bramanti E, Norcia A, Cicciù M, et al. Postextraction Dental Implant in the Aesthetic Zone, Socket Shield Technique Versus Conventional Protocol. J Craniofac Surg. 2018;29(4):1037-1041. doi:10.1097/SCS.0000000000004419.
17. Gluckman H, Salama M, Du Toit J. Partial Extraction Therapies (PET) Part 1: Maintaining Alveolar Ridge Contour at Pontic and Immediate Implant Sites. Int J Periodontics Restorative Dent. 2016;36(5):681-687. doi:10.11607/prd.2783.
18. Gluckman H, Salama M, Du Toit J. Partial Extraction Therapies (PET) Part 2: Procedures and Technical Aspects. Int J Periodontics Restorative Dent. 2017;37(3):377-385. doi:10.11607/prd.3111.
19. Siormpas KD, Mitsias ME, Kotsakis GA, Tawil I, Pikos MA, Mangano FG. The Root Membrane Technique: A Retrospective Clinical Study with Up to 10 Years of Follow-Up. Implant Dent. 2018;27(5):564-574. doi:10.1097/ID.0000000000000818.
20. Siormpas KD, Leitão-Almeida B, Borges T, Kotsakis G, Mitsias ME. Aesthetic, and radiographic outcomes using the root membrane technique in immediate adjacent implant placement: A retrospective clinical study with a 5- to 9-year follow-up. Int J Oral Implantol (Berl). 2022;15(4):341-352.
21. Mitsias MM, Bratos M, Siormpas K, Pikos MA, Kotsakis GA; Root Membrane Group. Longitudinal Soft Tissue Changes During Periodontal Ligament-Mediated Immediate Implant Placement with the Root-Membrane Technique. Int J Oral Maxillofac Implants. 2020;35(2):379-385. doi:10.11607/jomi.7245.
22. Kotsakis GA, Nguyen TT, Siormpas K, et al. Clinical outcomes of retention of the buccal root section combined with immediate implant placement: A systematic review of longitudinal studies. Clin Implant Dent Relat Res. 2023;25(1):23-34. doi:10.1111/cid.13150.
23. Gharpure AS, Bhatavadekar NB. Current Evidence on the Socket-Shield Technique: A Systematic Review. J Oral Implantol. 2017;43(5):395-403. doi:10.1563/aaid-joi-D-17-00118.
24. Davarpanah M, Szmukler-Moncler S. Unconventional implant treatment: I. Implant placement in contact with ankylosed root fragments. A series of five case reports. Clin Oral Implants Res. 2009;20(8):851-856. doi:10.1111/j.1600-0501.2008.01653.x.
25. Mitsias ME, Siormpas KD, Kotsakis GA, Ganz SD, Mangano C, Iezzi G. The Root Membrane Technique: Human Histologic Evidence after Five Years of Function. Biomed Res Int. 2017;2017:7269467. doi:10.1155/2017/7269467.
26. Zuhr O, Staehler P, Huerzeler M. Complication Management of a Socket Shield Case After 6 Years of Function. Int J Periodontics Restorative Dent. 2020;40(3):409-415. doi:10.11607/prd.4648.