A Novel Approach to Immediate Implants: The CastleWall Surgical Technique

IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE
C. Castle
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引用次数: 0

Abstract

Objective: The purpose of this study was to investigate the volumetric stability around immediate implants, in which a 360-degree socket-shield was retained using the CastleWall Surgical Technique (CWST). Material and methods: This retrospective study examined the results of the CWST used for 25 consecutive patients, involving 31 immediate implants. Silicone impressions taken prior to extraction, and at a review appointment were converted to STL files and compared. The median follow-up time was 14.2 ± 5.5 months. Volumetric changes and gingival recession on both buccal and lingual sites were measured. Papillary height changes were also evaluated from available photographs taken before and after treatment. Patients in the study completed a Visual Analogue Scale (VAS) for evaluation of post-operative discomfort and overall satisfaction with this procedure. Results: All implants integrated successfully without complications. Mean loss of buccal and lingual tissue was 0.30 ± 0.32 mm and 0.17 ± 0.27 mm, respectively. Mean recession at the mid-buccal and mid-lingual gingival margin was 0.66 ± 0.64 mm and 0.87 ± 0.84 mm, respectively. Mean recession of the mesial and distal papilla was 0.26 ± 0.55 mm and 0.29 ± 0.52 mm, respectively. Patients reported 97.74 ± 5.60% satisfaction with this procedure using the Visual Analogue Scale (VAS), with minimal post-operative discomfort. Conclusions: The results of this study showed excellent soft tissue stability and aesthetics were achieved using the CWST, with minimal postoperative pain. The other main advantage of retaining a 360-degree socket-shield, is there is more available surface area to lock the implant to the shield to prevent shield migration over time.
一种即时种植的新方法:CastleWall手术技术
目的:本研究的目的是探讨即刻种植体周围的体积稳定性,其中使用CastleWall手术技术(CWST)保留360度的套窝屏蔽体。材料和方法:本回顾性研究检查了连续25例患者使用CWST的结果,包括31例即刻种植体。硅胶印模提取之前,并在审查预约转换为STL文件和比较。中位随访时间14.2±5.5个月。测量了颊部和舌部的体积变化和牙龈退缩。乳头高度的变化也从治疗前后拍摄的照片中进行评估。研究中的患者完成了视觉模拟量表(VAS)来评估术后不适和对该手术的总体满意度。结果:所有种植体均成功整合,无并发症。颊部和舌部组织的平均损失分别为0.30±0.32 mm和0.17±0.27 mm。颊中龈缘和舌中龈缘的平均退行度分别为0.66±0.64 mm和0.87±0.84 mm。中乳头和远端乳头平均后退分别为0.26±0.55 mm和0.29±0.52 mm。通过视觉模拟评分(VAS),患者对该手术的满意度为97.74±5.60%,术后不适最小。结论:本研究结果显示,使用CWST获得了良好的软组织稳定性和美观性,术后疼痛最小。保留360度插座屏蔽的另一个主要优点是有更多的可用表面积将植入物锁定在屏蔽上,以防止屏蔽随着时间的推移而迁移。
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来源期刊
Open Dentistry Journal
Open Dentistry Journal DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
2.00
自引率
0.00%
发文量
86
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