Abstract
This article addresses diagnostic parameters that should be assessed in the treatment of extraction sockets with dental implant placement by presenting three case reports that emphasize the relevance of the amount of remaining bone walls. Diagnosis was based on the analysis of clinical and radiographic parameters (e.g.: bone defect morphology, remaining bone volume, presence of infections on the receptor site). Case 1 presents a 5-wall defect in the maxillary right central incisor region with severe root resorption, which was treated with immediate implant placement. Cases 2 and 3 present, respectively, two- and three-wall bone defects that did not have indication for immediate implants. These cases were first submitted to a guided bone regeneration (GBR) procedure with bone graft biomaterial and membrane barriers, and the implants were installed in a second surgical procedure. The analysis of the preoperative periodontal condition of the adjacent teeth and bone defect morphology is extremely important because these factors determine the choice between immediate implant or GBR treatment followed by implant installation in a subsequent intervention.
Highlights
The treatment with osseointegrated implants was initially designed to solve total edentulism cases by means of a fixed dental prosthesis constructed according to a specific clinical protocol [1]
This article addresses, by presenting three case reports, diagnostic parameters that should be observed in the treatment of extraction sockets with osseointegrated implants
Until the mid 1990’s, the therapeutic approach for the extraction socket had been based on Tolman and Keller’s study [4], which contraindicated implant placement after extractions in the presence of periapical lesions, supported only by clinical observations
Summary
Diagnosis and Treatment of Extraction Sockets in Preparation for Implant Placement: Report of Three Cases. This article addresses diagnostic parameters that should be assessed in the treatment of extraction sockets with dental implant placement by presenting three case reports that emphasize the relevance of the amount of remaining bone walls. Cases 2 and 3 present, respectively, two- and three-wall bone defects that did not have indication for immediate implants. These cases were first submitted to a guided bone regeneration (GBR) procedure with bone graft biomaterial and membrane barriers, and the implants were installed in a second surgical procedure.
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