Abstract

PurposeThe aim of this study is to evaluate the buccal and lingual bone thickness in the anterior teeth and the relationship between bone thickness and the tissue biotype.MethodsThree male and two female human cadaver heads (mean age, 55.4 years) were used in this study. First, the biotype of periodontium was evaluated and categorized into a thick or a thin group. Next, full thickness reflections of the mandible and the maxilla to expose the underlying bone for accurate measurements in the anterior regions were performed. After the removal of the half of the alveolar bone, the probe with a stopper was used to measure the thickness of bone plate at the alveolar crest (AC), 3 mm apical to the alveolar crest (AC-3), 6 mm apical to the alveolar crest (AC-6), and 9 mm apical to the alveolar crest (AC-9).ResultsFour of them had a thick biotype. There was no penetration or dehiscence. The thickness of the buccal plates at the alveolar crest were 0.97±0.18 mm, 0.78±0.21 mm, and 0.95±0.35 mm in the maxillary central incisors, lateral incisors, and canines, respectively. The thickness of the labial plates at the alveolar crest were 0.86±0.59 mm, 0.88±0.70 mm, and 1.17±0.70 mm in the mandibular central incisors, lateral incisors and canines, respectively.ConclusionsThe thickness of the labial plate in the maxillary anteriors is very thin that great caution is needed for placing an implant. The present study showed the bone thickness of maxillary and mandibular anteriors at different positions. Therefore, these data can be useful for the understanding of the bone thickness of the anteriors and a successful implant placement.

Highlights

  • Osseointegrated implants have been successfully used in the edentulous area for many years [1,2]

  • The thickness of the labial plate in the mandibular lateral incisor was thinnest at the alveolar crest (P < 0.05)

  • The thickness of labial plates in the maxillary central incisor, the mandibular central incisor, and the mandibular lateral incisor was thinnest at the alveolar crest (P < 0.05)

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Summary

Introduction

Osseointegrated implants have been successfully used in the edentulous area for many years [1,2]. There has been increasing interest in the placement of implants into tooth sockets immediately following an extraction. Implants placed in this manner, either with or without simultaneous restoration, are advocated to preserve soft tissue contours, preserve bone dimensions, reduce the overall treatment period, and to achieve more pleasing esthetic results [3,4,5,6,7,8]. It has been suggested that an immediate placement of implants may avoid the resorption process of the buccal bone plate and maintain the original shape of the ridge [9]. It has been reported that the placement of an implant in a fresh extraction site failed to prevent remod-

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