- Basic protocol for extraction and immediate implant placement
- How to identify a labial bone defect at an extraction site
- Surgical incisions needed to execute the book approach to reflecting a flap
- Proper implant placement in anterior extraction sites
- Bone augmentation procedure for facial bone defects
- Benefits of immediate tooth replacement with implant therapy
- Techniques for optimizing esthetics in anterior implant cases
Clinical Tip: The ‘Book’ Approach to Reflecting a Surgical Flap
Course Objectives
1 CE Credit
Extraction followed by immediate implant placement is an excellent means of addressing the immediate and long-term needs of patients who present with a non-restorable tooth in the anterior. Practitioners who provide this form of treatment will inevitably encounter cases in which a facial defect is present, calling for the reflection of a surgical flap and grafting of the extraction site. In this multimedia presentation, Dr. Jack Hahn explains the “book” approach to reflecting a surgical flap, demonstrating how to identify, graft and position an implant in the presence of a facial defect. Topics include:
Summary
When a facial defect is present at an extraction site, clinicians can place an implant and achieve a predictable outcome by following some straightforward diagnostic and surgical procedures. A flap can be reflected using the book approach to implant surgery, exposing the site for evaluation and bone grafting. By minimizing incisions and helping to maintain hard- and soft-tissue contours, this technique can help clinicians produce esthetic results when immediate tooth replacement is desired.
CAUTION: When viewing the techniques, procedures, theories and materials that are presented, you must make your own decisions about specific treatment for patients and exercise personal professional judgment regarding the need for further clinical testing or education and your own clinical expertise before trying to implement new procedures.
Recognition & Approval

Glidewell Education Center
Nationally Approved PACE Provider for FAGD/MAGD credit
Approval does not imply acceptance by any regulatory authority, or AGD endorsement. 3/1/2024 to 2/29/2028.
Provider ID# 216789
References
- 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.
-
Online CE CourseTreatment Planning for Single-Unit Implant PlacementTreatment planning for single-unit implant placement requires a comprehensive understanding of biological, esthetic, and functional principles. In this course, Dr. Taylor Manalili will introduce a top-down treatment planning approach, integrating digital technology to optimize outcomes.
-
Online CE CourseSuccess with Local Anesthesia: Key Drug Properties, Dose Updates and Buffering Local AnestheticsIn this course, Kathy Bassett will thoroughly explore the key pharmacological properties influencing profound anesthesia. Participants will review the latest guidelines for local anesthetic dosing and labeling to ensure safe usage.
-
Online CE CourseBenefits of Clear Aligner TherapyThis course offers an in-depth look into clear aligner orthodontic therapy, emphasizing both theoretical understanding and practical application. Participants will gain insights into the benefits of expansive versus retractive orthodontics, explore various arch forms and their relationship with malocclusion, and learn a systematic diagnostic protocol for identifying malocclusions.