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Unconventional Implant Placement Part III : Implant Placement Encroaching upon Residual Roots – A Report of Six Cases
Author(s) -
SzmuklerMoncler Serge,
Davarpanah Mithridade,
Davarpanah Keyvan,
CapelleOuadah Nedjoua,
Demurashvili Georgy,
Rajzbaum Philippe
Publication year - 2015
Publication title -
clinical implant dentistry and related research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.338
H-Index - 85
eISSN - 1708-8208
pISSN - 1523-0899
DOI - 10.1111/cid.12256
Subject(s) - implant , medicine , dentistry , radiography , mandible (arthropod mouthpart) , maxilla , osseointegration , residual , orthodontics , surgery , computer science , biology , botany , algorithm , genus
Background When a residual root is found in the way of a planned implant placement, invasive surgery is usually performed in order to remove it. Consequently, implant therapy is rendered more complex and lengthy. Purpose We present 6 cases treated according to an unconventional protocol in which invasive surgery was avoided by allowing the implants to encroach upon the residual roots in order to permit a prosthetically driven surgery. Materials and Methods Six patients were treated with 7 implants placed through a residual root (4 in the mandible and 3 in the maxilla). The residual roots had to be clinically and radiographically asymptomatic and covered by bone or healthy gingiva. The radiographic follow‐up ranged from 20 months to 9 years. Results Healing was uneventful. Implants were clinically stable, and radiographic examination did not show any unusual feature at the root‐implant interface. Conclusion Several types of new implant‐tissue interfaces were created in addition to the classical implant‐bone interface, but this did not seem to jeopardize implant integration. Reports of more cases with a longer follow‐up are needed before this protocol can be endorsed for routine application. Nonetheless, if confirmed as acceptable, this protocol might open intriguing possibilities; it might also lead to revision of one of the leading concepts in dental implantology.