The anterior maxilla is a particularly challenging area for immediate implant placement due to its thin buccal bone walls. These walls are more susceptible to resorption after tooth extraction, which can lead to significant bone loss and inadequate support for an implant. However, Different socket dimension may affect the amount of bone formed labial to the implant, regardless of the garfting procedure.
Immedaite implants in anterior maxilla
thick gingival phenotype
intact but thin labial plate of bone (≤1mm)
sufficient apical bone to attain implant primary stability (a minimum of 35 Ncm insertion torque)
smokers
pregnant women
patients with systemic disease
patients with parafunctional habits such as bruxism or clenching,
Primary care clinic
Cohort
Cross-sectional
Immediate implants with bone grafts
Procedure/SurgeryImmediate implants with bone grafts
Immediate implant placed without bone grafts or any grafting substitutes in the labial gap
Procedure/SurgeryImmediate implant placed without bone grafts or any grafting substitutes in the labial gap
Bone labial to the implant
measured at three levels 0, 2, and 5 mm below the labial bone crest after one year. Using fusion software.
Bone area at the Interproximal component
Bone area at the mesial and distal Interproximal component in mm2
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