Immediate reconstruction of failed implants in the esthetic zone using a flapless technique and autogenous composite tuberosity graft

Publication date: Available online 11 September 2017
Source:Journal of Oral and Maxillofacial Surgery
Author(s): Gerry M. Raghoebar, Henny J.A. Meijer, Baucke van Minnen, Arjan Vissink
We describe a technique for immediate reconstruction of bone after removal of failed dental implants in the aesthetic region in order to optimize the aesthetic outcome of retreatment. We conducted a study in 16 consecutive patients in which the bony defect resulting from implant removal was immediately reconstructed with a combined autogenous bone and soft tissue graft harvested from the maxillary tuberosity. After a healing period of 3 months, implants were inserted. One year after placement of the definitive restoration, no implants were lost, the peri-implant tissues were healthy, the aesthetics scored with the pink aesthetic score were favorable and the patients were satisfied. With this technique, it appears that immediate reconstruction of the hard and soft tissue components with a combined bone-soft tissue graft after removal of an implant is a feasible treatment option, both from the perspective of the patient and professional. It expedites rehabilitation, reduces morbidity and is accompanied by a favorable aesthetic outcome.



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