Immediate Implant Placement

Abstract

The goal of anterior implant is to simulate the appearance of a natural crown adequate bone volume must be present for ideal hard and soft tissue contours, when placing an implant in an immediate extraction site, the surgeon should consider the socket dimension and the defect between the labial plate of bone and the implant. An anterior tooth has greater dimensions in the faciolingual direction, compared with its mesiodistal dimension. The thin labial bone has often been compromised and reduced in height when an anterior tooth requires extraction or during the extraction process itself. As a result, the facial cortex is most always several millimeters opical to the palatal cortical plate. Therefore immediate implant placement in the anterior region using a round implant often requires that the osteotomy and implant insertion engage the lingual wall of the alveolus and penetrate halfway to two-thirds down the extraction site into the remaining lingual opical bone for rigid fixation. Recently, there have been changes in the protocol initially used when implants were immediately placed into extraction sockets. Researchers and clinicians are now placing implants immediately into extraction sockets and attaching abutments and provisional crowns, thereby permitting immediate loading to occur in conjunction with the bone healing.