Timing of Anterior Implant Placement Postextraction: Immediate Versus Early Placement

Clinical Advances in Periodontics
Thomas G Wilson, Daniel Buser

Abstract

Type of Case: Implant placement in a postextraction site in the esthetic zone is a challenge for clinicians, since esthetic expectations of patients are high and potential esthetic complications can be devastating. The timing of implant placement is crucial, since it has an influence on esthetic treatment outcomes and the risk of complications. The topic of this paper is the timing of dental implant placement in the esthetic zone in relation to removal of the tooth to be replaced. Two opinions on the topic are presented. The first author (TGW) contends that under certain circumstances, immediate implant placement is appropriate in the esthetic zone. The second author (DB) favors early implant placement performed after 4 to 8 weeks of soft tissue healing. Both cite literature to substantiate their position and present their current therapeutic approach. Each author has been allowed to review the paper with the opposing view and comment. Clinical Approach #1 (TGW): By definition, an immediate implant is one that is put into position at the same surgery that the tooth to be replaced is removed. Sites that respond optimally to this approach in the esthetic zone are those with adequate bone for implant stability and an intact socket...Continue Reading

References

May 30, 2006·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·Jérôme A H LindeboomFrans H M Kroon
Jul 12, 2007·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Joseph Y K KanJaime L Lozada
Jul 5, 2007·Clinical Oral Implants Research·Stephen T ChenEric C Reynolds
Sep 2, 2009·Clinical Oral Implants Research·Luca CordaroMario Roccuzzo

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