Downloads
Abstract
Background: Traumatic loss of multiple teeth in the esthetic zone is frequently associated with alveolar bone and soft-tissue deficiencies, complicating implant rehabilitation. Implant placement combined with guided bone regeneration (GBR) represents a potential solution; however, clinical evidence in this specific context remains limited.
Case report: We report three cases of post-traumatic multiple tooth loss in the esthetic zone treated with implant placement combined with GBR at Hue Central Hospital. Treatment planning was prosthetically driven and based on clinical and CBCT evaluation. Implants were placed simultaneously with xenogeneic bone grafting and a resorbable collagen membrane. Definitive fixed prostheses were delivered after 6 months. Early outcomes demonstrated stable implants, healthy peri-implant tissues, and marked improvement in function, esthetics, and patient satisfaction.
Conclusions: Implant placement combined with GBR appears to be a feasible approach for rehabilitation of post-traumatic multiple tooth loss in the esthetic zone with associated bone defects, providing favorable early functional and esthetic outcomes.
References
Andersson L. Trauma in a global health perspective. Dent Traumatol. 2008; 24(3): 267. https://doi.org/10.1111/j.1600-9657.2008.00710.x
Arhakis A, Athanasiadou E, Vlachou C. Social and Psychological Aspects of Dental Trauma, Behavior Management of Young Patients Who have Suffered Dental Trauma. Open Dent J. 2017; 11: 41-47. https://doi.org/10.2174/1874210601711010041
Al-Omiri MK, Karasneh JA, Lynch E, Lamey PJ, Clifford TJ. Impacts of missing upper anterior teeth on daily living. Int Dent J. 2009; 59(3): 127-32.
Mặt VĐtRH, Chấn thương răng vĩnh viễn, in Phẫu thuật miệng II. 2021, Nhà xuất bản giáo dục Việt Nam: Trường Đại học Y Hà Nội. p. 9 - 75.
Gupta T, Sadana G, Rai HK. Effect of Esthetic Defects in Anterior Teeth on the Emotional and Social Well-being of Children: A Survey. Int J Clin Pediatr Dent. 2019; 12(3): 229-232. https://doi.org/10.5005/jp-journals-10005-1628
Lee JY, Divaris K. Hidden consequences of dental trauma: the social and psychological effects. Pediatr Dent. 2009; 31(2): 96-101.
Misch CE, Perel ML, Wang HL, Sammartino G, Galindo-Moreno P, Trisi P, et al. Implant success, survival, and failure: the International Congress of Oral Implantologists (ICOI) Pisa Consensus Conference. Implant Dent. 2008; 17(1): 5-15. https://doi.org/10.1097/ID.0b013e3181676059
Cosyn J, Eghbali A, Hanselaer L, De Rouck T, Wyn I, Sabzevar MM, et al. Four modalities of single implant treatment in the anterior maxilla: a clinical, radiographic, and aesthetic evaluation. Clin Implant Dent Relat Res. 2013; 15(4): 517-30. https://doi.org/10.1111/j.1708-8208.2011.00417.x
Levin L, Day PF, Hicks L, O'Connell A, Fouad AF, Bourguignon C, et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: General introduction. Dent Traumatol. 2020; 36(4): 309-313. https://doi.org/10.1111/edt.12574
Sigurdsson A, Blicher B, Miller AJ, Singh V, Teixeira FB, Williamson AE, et al. Recommended Guidelines of the American Association of Endodontists for the Treatment of Traumatic Dental Injuries. Journal of Endodontics. 2026. https://doi.org/https://doi.org/10.1016/j.joen.2026.04.002
Lincicum AR, Capetillo JF, Vargas SM, Smallidge MJ, McLaughlin JB, Todd SJ, et al. Dental Implant Treatment Planning in the Post-Traumatic Rehabilitation of the Anterior Maxilla: A Report of Three Cases. 2023.
Awadalkreem F, Khalifa N, Ahmad AG, Suliman AM, Osman M. Oral rehabilitation of maxillofacial trauma using fixed corticobasal implant-supported prostheses: A case series. Int J Surg Case Rep. 2022; 100: 107769. https://doi.org/10.1016/j.ijscr.2022.107769
Rashid H, Vohra F, Lillywhite GR. Restorative rehabilitation in a patient with sports trauma. Eur J Dent. 2016; 10(4): 571-578. https://doi.org/10.4103/1305-7456.195164
Tinti C, Parma-Benfenati S. Clinical classification of bone defects concerning the placement of dental implants. Int J Periodontics Restorative Dent. 2003; 23(2): 147-55.
Kim Y, Leem DH. Post traumatic immediate GBR: alveolar ridge preservation after a comminuted fracture of the anterior maxilla. Dent Traumatol. 2015; 31(2): 156-9. https://doi.org/10.1111/edt.12144
Riley DS, Barber MS, Kienle GS, Aronson JK, von Schoen-Angerer T, Tugwell P, et al. CARE guidelines for case reports: explanation and elaboration document. J Clin Epidemiol. 2017; 89: 218-235. https://doi.org/10.1016/j.jclinepi.2017.04.026
Lang NP, Lindhe J, Clinical periodontology and implant dentistry, 2 Volume Set. 2015: John Wiley & Sons.
Farzad M, Mohammadi M. Guided bone regeneration: A literature review. 2012.
Buser D, Urban I, Monje A, Kunrath MF, Dahlin C. Guided bone regeneration in implant dentistry: Basic principle, progress over 35 years, and recent research activities. Periodontology 2000. 2023; 93(1): 9-25.
| Published | 18-08-2026 | |
| Fulltext |
|
|
| Language |
|
|
| Issue | Vol. 18 No. 5 (2026) | |
| Section | Case report | |
| DOI | 10.38103/jcmhch.18.5.9 | |
| Keywords | cấy ghép implant, tái sinh xương có hướng dẫn, vùng thẩm mỹ, mất nhiều răng sau chấn thương dental implants, guided bone regeneration, post-traumatic multiple tooth loss, esthetic zone |
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2026 Journal of Clinical Medicine Hue Central Hospital