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VOLUME 8 , ISSUE 3 ( May-June, 2017 ) > List of Articles


Immediate Implant Placement with Simultaneous Regenerative Procedure in Fresh Extraction Socket

Rafael S de Molon

Citation Information : de Molon RS. Immediate Implant Placement with Simultaneous Regenerative Procedure in Fresh Extraction Socket. World J Dent 2017; 8 (3):231-238.

DOI: 10.5005/jp-journals-10015-1443

Published Online: 01-06-2017

Copyright Statement:  Copyright © 2017; The Author(s).



The aim of this case report was to reconstruct the alveolar buccal bone plate lost in consequence of a root fracture in the maxillary central incisor area after immediate implant placement (IIP). A 48-year-old patient was referred to our office with the chief complaint of spontaneous bleeding in his left central incisor. After careful examination, the following comprehensive treatment approach was carried out: (1) Atraumatic tooth extraction, (2) IIP, (3) provisional prosthesis installation, (4) alveolar buccal bone plate reconstruction with autologous bone collected from the maxillary tuberosity, (5) gingival augmentation procedure with connective tissue graft removed from the palate, and finally (6) adjustment of the provisional restoration. After 1-year postoperative, an adequate esthetic outcome was achieved with lower cost, reduced morbidity to the patient, and lower treatment time. This approach was able to improve gingival architecture and bone volume with adequate thickness and width, enhancing patient esthetics and satisfaction. In conclusion, when proper diagnosis, precise surgical techniques, and appropriate multidisciplinary approach are employed, IIP followed by immediate dentoalveolar restoration might be considered a safe procedure to restore the peri-implant bone and gingival recession favoring the achievement of appropriate esthetic outcomes.

Clinical significance

The treatment planning employed was able to improve gingival architecture and bone volume with sufficient width and thickness enhancing patient esthetics and satisfaction in one single-stage procedure.

How to cite this article

de Molon RS, de Avila ED, Barros- Filho LAB, Cirelli JA, Borelli-Barros LA. Immediate Implant Placement with Simultaneous Regenerative Procedure in Fresh Extraction Socket. World J Dent 2017;8(3):231-238.

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  1. The Tübingen immediate implant in clinical studies. Dtsch Zahnarztl Z 1978 May;33(5):348-359.
  2. A combined approach for the treatment of resorbed fresh sockets allowing immediate implant restoration: a 2-year follow-up. J Oral Implantol 2015 Dec;41(6):712-718.
  3. Timing of implant placement after tooth extraction: Immediate, immediate-delayed or delayed implants? A Cochrane systematic review. Eur J Oral Implantol 2010 Autumn;3(3):189-205.
  4. Evidence-based knowledge on the biology and treatment of extraction sockets. Clin Oral Implants Res 2012 Feb;23(Suppl 5):80-82.
  5. 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.
  6. A systematic review on the frequency of advanced recession following single immediate implant treatment. J Clin Periodontol 2012 Jun;39(6):582-589.
  7. Alveolar bone dimensional changes of post-extraction sockets in humans: a systematic review. J Clin Periodontol 2009 Dec;36(12):1048-1058.
  8. Early healing of implants placed into fresh extraction sockets: An experimental study in the beagle dog. II: ridge alterations. J Clin Periodontol 2009 Aug;36(8):688-697.
  9. Immediate implants at fresh extraction sockets: From myth to reality. Periodontol 2000 2014 Oct;66(1):132-152.
  10. Reconstruction of the alveolar buccal bone plate in compromised fresh socket after immediate implant placement followed by immediate provisionalization. J Esthet Restor Dent 2015 May-Jun;27(3):122-135.
  11. The ways and wherefores of immediate placement of implants into fresh extraction sites: a literature review. J Periodontol 1997 Oct;68(10):915-923.
  12. Optimizing esthetics for implant restorations in the anterior maxilla: anatomic and surgical considerations. Int J Oral Maxillofac Implants 2004;19 (Suppl):43-61.
  13. A single-incision technique to harvest subepithelial connective tissue grafts from the palate. Int J Periodontics Restorative Dent 1999 Jun;19(3):279-287.
  14. Esthetic outcomes and tissue stability of implant placement in compromised sockets following immediate dentoalveolar restoration: results of a prospective case series at 58 months follow-up. Int J Periodontics Restorative Dent 2014 Mar-Apr; 34(2):199-208.
  15. Clin Oral Implants Res 2011 Aug;22(8):779-788.
  16. Bone modelling at fresh extraction sockets: immediate implant placement versus spontaneous healing: an experimental study in the beagle dog. J Clin Periodontol 2012 Jan;39(1):91-97.
  17. Alveolar ridge preservation. A systematic review. Clin Oral Investig 2013 Mar;17(2):341-363.
  18. Immediate implant placement: surgical techniques for prevention and management of complications. Dent Clin North Am 2015 Jan;59(1):73-95.
  19. Multidisciplinary approach for the aesthetic treatment of maxillary lateral incisors agenesis: thinking about implants? Oral Surg Oral Med Oral Pathol Oral Radiol 2012 Nov;114(5):e22-e28.
  20. Bone remodeling around implants placed in fresh extraction sockets. Int J Periodontics Restorative Dent 2010 Dec;30(6):601-607.
  21. Six-year follow-up of maxillary anterior rehabilitation with forced orthodontic extrusion: achieving esthetic excellence with a multidisciplinary approach. Am J Orthod Dentofacial Orthop 2013 Oct;144(4):607-615.
  22. Platform switching for marginal bone preservation around dental implants: a systematic review and meta-analysis. J Periodontol 2010 Oct;81(10):1350-1366.
  23. Immediate provisionalization on a new implant design for esthetic restoration and preserving crestal bone. Implant Dent 2007 Jun;16(2):155-164.
  24. Preservation of peri-implant soft and hard tissues using platform switching of implants placed in immediate extraction sockets: a proof-of-concept study with 12-to 36-month follow-up. Int J Oral Maxillofac Implants 2007 Nov-Dec;22(6):995-1000.
  25. Histologic evaluation of dental endosseous implants placed in surgically created extraction defects. Int J Periodontics Restorative Dent 1991;11(5): 364-375.
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