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Dental Congress 2019
Journal of Clinical Dentistry and Oral Health | Volume 3
Page 19
OF EXCELLENCE
IN INTERNATIONAL
MEETINGS
alliedacademies.comYEARS
April 15-16, 2019 | Milan, Italy
DENTISTRY
AND ORAL HEALTH
2
nd
International Conference on
AN INNOVATIVE WAY FOR IMPLANT PLACEMENT AT ESTHETIC AREA – ROOT
MEMBRANE TECHNIQUE
Ho Chia-Ming
Asia Pacific Association of Implant Dentistry, Taiwan
Background:
Single implant at anterior esthetic area always is the biggest challenge to dentists. Especially
in Asia, most of the patients are thin biotype gingiva with underlying thin buccal plate. Once the tooth was
extracted, the buccal plate and gingiva start to recess immediately, and the look of the anterior area is very
hard to be harmonious. From the literature review and our experience, immediate implant placement with
traditional Atraumatic extraction is not enough to keep the hard and soft tissue. Therefore, we are trying to find
a new way to solve this problem.
Aim:
The aim of these case reports is trying to use root membrane technique to keep the hard and soft tissue
at anterior esthetic area after implant placement.
Materials & Methods:
Case 1:
•
A 66 y/o female whose tooth #11 was fractured and the old post crown were loose.
•
Remove the crown portion to the CEJ and left no caries or calculus.
•
Separate the root mesial-distally.
•
Remove the palatal part of the root.
•
Different from Dr Hurzeler’s method, we thinning the buccal part of root to 1mm to create enough
room for further GBR procedure. Vertical reduction of the buccal part of the root to establish the bio-
logical width.
•
Place the implant with CAD/CAM surgical template to make sure we place the implant at the accurate
position and angulation.
•
Perform the GBR procedure.
•
Connect the abutment and preformed temporary crown
•
After 1 year follow up, there is no obvious recession of bone or gingiva.
Case 2:
A 40 y/o male whose tooth #23 was fractured. We use root membrane technique, following form step 1
to step 8 to treat the patient. After 1 year follow up, both frompicture and X-ray, there was no obvious recession
of the soft and hard tissue.
Result:
We successfully preserve the “tooth-bone-gingiva” complex, and place the implant at the precise posi-
tion to create sufficient space for GBR procedure. After 1-year follow up, the hard and soft tissue stay steady by
using root membrane technique.
Conclusion:
Single implant at anterior esthetic area always is the biggest challenge to dentists. According to
the socket shield technique, we try our best to preserve the “tooth-bone-gingiva” complex to perform the At-
Ho Chia-Ming, J Clin Dentistry Oral Health 2019, Volume 3