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Esthetic Assessment following Ridge Augmentation, Late Implant Placement and Immediate Esthetic Reconstruction of the Atrophic Anterior Maxilla

Author

Listed:
  • Sarit Naishlos

    (Department of Pedodontics, School of Dental Medicine, Tel Aviv University, Tel Aviv 6997801, Israel
    These authors contributed equally to this work.)

  • Vadim Reiser

    (Department of Oral and Maxillofacial Surgery, School of Dental Medicine, Tel Aviv University, Tel Aviv 6997801, Israel
    These authors contributed equally to this work.)

  • Helena Zelikman

    (Department of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv 6997801, Israel
    These authors contributed equally to this work.)

  • Joseph Nissan

    (Department of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv 6997801, Israel)

  • Daya Masri

    (Department of Oral and Maxillofacial Surgery, School of Dental Medicine, Tel Aviv University, Tel Aviv 6997801, Israel)

  • Hiba Nassra

    (Department of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv 6997801, Israel)

  • Gavriel Chaushu

    (Department of Oral and Maxillofacial Surgery, School of Dental Medicine, Tel Aviv University, Tel Aviv 6997801, Israel)

  • Sigalit Blumer

    (Department of Pedodontics, School of Dental Medicine, Tel Aviv University, Tel Aviv 6997801, Israel
    These authors contributed equally to this work.)

  • Liat Chaushu

    (Department of Periodontology and Implant Dentistry, School of Dental Medicine, Tel Aviv University, Tel Aviv 6997801, Israel
    These authors contributed equally to this work.)

Abstract

Purpose : Evaluate the esthetic outcome of ridge augmentation using cancellous bone-block allografts, late implant placement, and immediate loading in the atrophic anterior maxilla, by PES (pink esthetic score) and WES (white esthetic score) indexes. Materials and Methods : Retrospective cohort study. Inclusion criteria were bone loss of at least 3 mm horizontally and 3 mm vertically according to preliminary CBCT; ridge augmentation using cancellous bone-block allografts; six months later the implant insertion and immediately loaded. PES-WES index was used for esthetic assessment of soft tissues surrounding the final implant-supported prosthesis (ISP). Results : All twenty-five successive individuals were included. The mean follow-up was 12.1 ± 56 months (range, 42–90 months). The mean PES index and WES index were 7 ± 1.74 (range: 5–10) and 8.4 ± 2.12 (range: 5–10), respectively. The mean total combination of PES index and WES index (PES/WES) was 15.3 ± 2.85 (range: 12–20). All ISPs had an overall score >12 (the defined threshold of clinical acceptability). Conclusions : Ridge augmentation in the atrophic anterior maxilla using cancellous bone-block allografts and immediate loading allows a stable esthetic result of the soft and hard tissues over the years (follow-up of 42–90 months).

Suggested Citation

  • Sarit Naishlos & Vadim Reiser & Helena Zelikman & Joseph Nissan & Daya Masri & Hiba Nassra & Gavriel Chaushu & Sigalit Blumer & Liat Chaushu, 2022. "Esthetic Assessment following Ridge Augmentation, Late Implant Placement and Immediate Esthetic Reconstruction of the Atrophic Anterior Maxilla," IJERPH, MDPI, vol. 19(6), pages 1-11, March.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:6:p:3689-:d:775301
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    References listed on IDEAS

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    1. João Paulo Mendes Tribst & Amanda Maria de Oliveira Dal Piva & Roberto Lo Giudice & Alexandre Luiz Souto Borges & Marco Antonio Bottino & Ettore Epifania & Pietro Ausiello, 2020. "The Influence of Custom-Milled Framework Design for an Implant-Supported Full-Arch Fixed Dental Prosthesis: 3D-FEA Study," IJERPH, MDPI, vol. 17(11), pages 1-12, June.
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