Implant placement in the aesthetic zone after completion of growth
It happened that just a day after I`ve seen Richard Martin`s lecture about congenitally missing teeth this patient came for control.
18-year-old female patient was referred 2011 for implant placement #7 after completion of orthodontic treatment alio loco. A hand X-ray showed a completed growth. I explained to the patient that implant placement should be postponed for some years because:
skeletal growth is generally completed in girls at around age 17, and in boys around age 19. However, with completion of skeletal growth radiologically established, there will still be residual vertical growth of the dentoalveolar complex at 20% of population.
The patient was willing to postpone implant placement for one year, not more.
As first, soft tissue augmentation was done. After one year, an implant is placed in minimal invasive approach. Given the reduced volume of the alveolar ridge, the preparation was carried out using osteotomes and bone spreaders.
Four years after implant placement there is no vertical ledge between the implant supported crown and the adjacent teeth.
This case illustrates that minimal invasive approach (flapless, ridge expansion, tunnel technique for soft tissue augmentation) may be a very good alternative to more invasive implant site development techniques.
I would like to know how long do you wait with implant placement after completion of skeletal growth?