Dental News - New grafting procedure for oral implantation

Dental Tribune USA

Tue. 13 May 2014

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NEW YORK, N.Y., USA: A goal of current oral surgery is not merely to replace a problematic tooth, but also to keep the supporting tissue structure of the mouth and jawline intact. This helps in maintaining the long-term effectiveness of the surgery and the oral cavity and jawline esthetics. However, if infection is present, surgery is usually delayed which may compromise the supporting tissues.

An innovative procedure, utilizing a single incision for access and localized antibiotics to treat infection, is being introduced that will enable immediate implantation with a bone graft harvested from a portion of the patient’s own lower jaw. A case study in the Journal of Oral Implantology provides an in-depth analysis of this new approach for immediate treatment and implantation of an infected area.

In oral implant surgery, immediate implantation of the area of interest is preferred, as delaying the procedure can have a negative effect on the structure of hard and soft tissues. Frequently, required surgeries coincide with oral infection and surgeons prefer to wait until the infection is resolved before performing the reconstructive implant surgery. This time-lapse in placement of reconstructive bone grafts reduces the success rate of the implantation, from 100 percent with immediate implantation, to 92 percent.

In the case study, a 43-year-old female presenting with a front-tooth infection of seven months duration underwent a root canal and antibiotics. When symptoms persisted, tooth removal was recommended. Despite the presence of infection, the patient was able receive a bone graft harvested from the symphysis of her mandible. Application of localized antibiotics was used to treat the infection. Three years postoperatively, the patient presented with no negative effects.

Regarding recovery from oral surgery, immediate implantation is critical to:

Preserving the structure of the soft and hard tissue
Shortening the recovery period
Prevention of future corrective surgeries

Grafting procedures using bone from the patient’s own body has been the gold standard for years; therefore, it is a natural progression for oral implantation to follow suit.

(Source: Journal of Oral Implantology)

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