Immediate Implant Placement With Autogenous Maxillary Tuberosity Graft in the Esthetic Zone
Clinical and Esthetic Outcomes of Immediate Implant Placement With Autogenous Maxillary Tuberosity Graft in the Esthetic Zone: A Prospective Case Series
University of Medicine and Pharmacy at Ho Chi Minh City
15 participants
Jan 1, 2026
INTERVENTIONAL
Conditions
Summary
Immediate implant placement in the esthetic zone is often associated with buccal bone deficiency, which may compromise esthetic outcomes and long-term implant stability. Autogenous bone graft harvested from the maxillary tuberosity provides corticocancellous bone with favorable biological properties and may help reconstruct the buccal bone plate during immediate implant placement. This prospective case series aims to evaluate the clinical and esthetic outcomes of immediate implant placement combined with autogenous maxillary tuberosity graft in the esthetic zone. The primary outcomes include buccal bone thickness measured on cone-beam computed tomography (CBCT), facial soft tissue thickness measured clinically, and the pink esthetic score (PES) after implant restoration.
Eligibility
Inclusion Criteria6
- Adults aged 18 years or older
- Patients requiring single implant placement in the maxillary esthetic zone
- Indication for immediate implant placement following tooth extraction
- Presence of a buccal bone defect requiring augmentation with an autogenous maxillary tuberosity bone graft
- Adequate oral hygiene and ability to maintain postoperative care
- Willingness to participate in the study and provide informed consent
Exclusion Criteria8
- Uncontrolled sHistory of radiotherapy in the head and neck region ystemic diseases
- History of radiotherapy in the head and neck region
- Active periodontal disease or untreated oral infection
- Heavy smoking (more than 10 cigarettes per day)
- Pregnancy or lactation
- Severe parafunctional habits
- Insufficient bone volume preventing implant placement with the planned protocol
- Patients unable to attend follow-up visits
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Interventions
Immediate implant placement in the maxillary esthetic zone combined with autogenous bone graft harvested from the maxillary tuberosity. The graft is used to reconstruct the buccal bone plate and improve peri-implant tissue stability and esthetic outcomes.
Locations(1)
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NCT07460076