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Success Factors for Immediate Implant Placement in the Anterior

Success Factors for Immediate Implant Placement in the Anterior
Launch Course

Course Objectives (1 CE Credit)

Paresh B. Patel, DDS

When circumstances allow for immediate implant placement into an anterior extraction site, this streamlined approach to tooth replacement is appealing to patients and offers many advantages.

In this multimedia presentation, Dr. Paresh Patel explains how to determine whether a patient is indicated for immediate implantation by assessing the condition of the extraction socket and the health of the soft tissue. By utilizing proper surgical, bone grafting and prosthetic techniques, a predictable, functional and esthetic outcome can be achieved whether a delayed or immediate implant placement protocol is called for. Topics include:

  • Anatomical factors to consider when diagnosing an immediate implantation case
  • Basic treatment protocol for immediate and delayed implant placement
  • Bone grafting procedure for extraction and immediate implant sites
  • Buccal plate evaluation for extraction sockets
  • Implant positioning guidelines for immediate implant cases
  • Gingival biotype assessment
  • Atraumatic extraction techniques
  • Osteotomy creation and implant insertion in extraction sockets
  • Use of resorbable membranes in bone grafting procedures

Summary

Immediate implantation offers a predictable means of tooth replacement for many patients who present with an untreatable tooth. By following a set of straightforward guidelines, clinicians can evaluate the extraction socket and soft tissue to decide whether to place the implant or employ a more conservative approach. Once the appropriate determination has been made, grafting materials, modern implant design and the precision of CAD/CAM prosthetics can help the practitioner produce a functional, lifelike result.

CAUTION: When viewing the techniques, procedures, theories and materials presented, you must make your own decisions about specific treatment for patients and exercise professional judgment regarding the need for further clinical testing or education and your own clinical expertise before trying to implement new procedures.


References

  1. Lang NP, Pun L, Lau KY, Li KY, Wong MC. A systematic review on survival and success rates of implants placed immediately into fresh extraction sockets after at least 1 year. Clin Oral Implants Res. 2012 Feb;23 Suppl 5:39-66.
  2. Noelken R, Neffe BA, Kunkel M, Wagner W. Maintenance of marginal bone support and soft tissue esthetics at immediately provisionalized OsseoSpeed implants placed into extraction sites: 2-year results. Clin Oral Implants Res. 2014 Feb;25(2):214-20.
  3. Valentini P, Abensur D, Albertini JF, Rocchesani M. Immediate provisionalization of single extraction-site implants in the esthetic zone: a clinical evaluation. Int J Periodontics Restorative Dent. 2010 Feb;30(1):41-51.
  4. Covani U, Cornelini R, Calvo JL, Tonelli P, Barone A. Bone remodeling around implants placed in fresh extraction sockets. Int J Periodontics Restorative Dent. 2010 Dec;30(6):601-7.
  5. Kan JY, Rungcharassaeng K, Lozada JL, Zimmerman G. Facial gingival tissue stability following immediate placement and provisionalization of maxillary anterior single implants: a 2- to 8-year follow-up. Int J Oral Maxillofac Implants. 2011 Jan-Feb;26(1):179-87.
  6. Chen ST, Buser D. Clinical and esthetic outcomes of implants placed in postextraction sites. Int J Oral Maxillofac Implants. 2009;24 Suppl:186-217.
  7. Park N. Implant Cervical Collars: Preserving Crestal Bone. Inclusive. 2017;7(4):91-2.
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