Dental Education
Online Dental Education Dental education lectures and videos Online dental ce Dental education articles Expert dental educators Dental products education Dental Community
 
Dental Publication / Article Details

Anterior Extraction & Implant Placement in a Severely Deficient Site Anterior Extraction & Implant Placement in a Severely Deficient Site

Author(s):

Sergio Rubinstein, DDS;Maurice Salama, DMD;Henry Salama, DMD;David Garber, DMD;Mark B. Jacob, DDS

Date Added:

2/21/2012


Summary:

Achieving optimal esthetic restorative results associated with anterior extraction and tooth replacement continues to be one of the most challenging endeavors in reconstructive cosmetic dentistry. When implant therapy is the treatment of choice, the margin for error is further decreased dramatically and methods to minimize and/or eliminate the potential for failure must be employed. This is especially relevant when the tooth to be extracted is associated with significant hard and soft tissue deficiencies. Assessing the patient's expectations, establishing a thorough diagnosis, and choosing the optimal therapeutic options to sequence and design treatment are key considerations for predictable success. Part 1 of this two-part article describes just such a clinical challenge related to the replacement of a severely compromised central incisor, with special emphasis placed on the utilization of pre-extraction orthodontic therapy to enhance the hard and soft tissue profile of the future implant receptor.

Related Articles
Flapless Postextraction Socket Implant Placement, Part 2. The Effects of Bone Grafting and Provisional Restoration on Peri-implant Soft Tissue Height & Thickness - A Retrospective Study

Flapless Postextraction Socket Implant Placement, Part 2. The Effects of Bone Grafting and Provisional Restoration on Peri-implant Soft Tissue Height & Thickness - A Retrospective Study
This article presents the results of evaluating the changes in peri-implant soft tissue dimensions associated with immediate implant placement into anterior post-extraction sockets for four treatment groups: no BGPR(bone graft, no provisional restoration), PR (no bone graft, provisional restoration), BG (bone graft, no provisional restoration), and BGPR (bone graft, provisional restoration). The vertical distance of the peri-implant soft tissue was greater for grafted sites than for non-grafted ones. The facial soft tissue thickness at the gingival third was greater for grafted than for non-grafted sites and for sites with provisional restorations compared to sites without them, respectively. The net gain in soft tissue height and thickness was about 1mm. The increases in vertical and horizontal dimensions for grafted sites were between 0.5 and 1.0mm, as compared to sites with no bone graft and no provisional restoration.

Author(s): Stephen J. Chu, DMD, MSD, CDT;Maurice Salama, DMD;David Garber, DMD;Henry Salama, DMD;Guido O. Sarnachiaro, DDS; Evangelina Sarnachiaro, DDS; Sergio Luis Gotta, DDS; Hanae Saito, DDS, MS
View Article>>
Dental Implants: Oral Hygine & Maintenance

Dental Implants: Oral Hygine & Maintenance
Proper monitoring and maintenance is essential to ensure the longevity of the dental implant and its associated restoration through a combination of appropriate professional care and effective patient oral hygiene. Gregori M Kurtzman and Lee H Silverstein explain the protocols for the dental team.

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD;Gregori M. Kurtzman
View Article>>
Maximizing Aesthetics in the Deficient Alveolar Ridge

Maximizing Aesthetics in the Deficient Alveolar Ridge
This article will present a predictable method for replacing the lost bone prior to implant placement through the ramus block graft technique.

Author(s): Steven L. Rasner, DMD, MAGD
View Article>>
Related Videos
"Partial Extraction Therapies" for Preservation of the Ridge Premium Member Content

"Partial Extraction Therapies" for Preservation of the Ridge
Understand PET/Socket Shield’s healing biology according to present knowledge. Learn about PET/Socket Shield complications, and how to solve them. Learn the benefits of combining Biological Modulators (Endoret®) to enhance PET/Socket Shield’s results. Learn how to obtain an adequate 3D soft tissue thickness around dental implants, and how this biological benefit is reflected in the aesthetics and durability of treatments.

Presented By:: Bernardo de Mira Corrêa, DDS, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Management of Periodontal Complications: Science vs. Hype Premium Member Content

Management of Periodontal Complications: Science vs. Hype
The dental implant therapy has evolved both in implant surface and design. The reason for the initial crestal bone loss has been proven and the risks of having a peri-implantitis have increased due to the early exposure of roughened surface. The prevalence of peri-implantitis is at a range of 28 to 56%. The role of dental professionals nowadays is to know how to interpret the signs of inflammation and establish the diagnosis of peri-implantitis, which is the most challenging, and be able to treat it properly since this is becoming a more needed therapy.

Presented By:: Edgard El Chaar, DDS, MS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Implant Abutment Design and Selection Premium Member Content

Implant Abutment Design and Selection
Dr. Gehrke outlines the impact of abutment design and selection on developing esthetic peri-implant soft tissue outcomes.

Presented By:: Dr. Peter Gehrke
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
Related Courses
Tipping the Needle in Implant Dentistry Premium Member Content

Tipping the Needle in Implant Dentistry
New materials, new implant designs, smarter surfaces, computer software and much more are helping us push the boundaries of what we thought “possible” in implant dentistry. Osseointegration is no longer in question. In this webinar Dr. Stanley will show you how 3D guided surgery improved the surgical time and outcome; how new regeneration materials like a- PRF and i-PRF are revolutionizing hound healing and soft tissue management; how immediate loading can be a simple procedure but most of all, how to use the best materials and technology to improve your surgical skills. By presenting some selected clinical cases, Dr. Stanley will show you what can be done with careful planning and execution in clinical implantology.

Presented By:: Miguel Stanley, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Digital Dentures: Revolutionizing Treatment for the Edentulous Patient Premium Member Content

Digital Dentures: Revolutionizing Treatment for the Edentulous Patient
While the number of edentulous patients is increasing every year, the access to care is decreasing. In order to streamline the complete denture process, more companies are incorporating CAD/CAM. This lecture will review how digital technology is changing complete dentures, and how it can be incorporated into clinical practice.

Presented By:: Wendy AuClair-Clark, DDS, MS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Achieving Stable Esthetic Results with Implant Supported Restorations Premium Member Content

Achieving Stable Esthetic Results with Implant Supported Restorations
We will discuss basic concept regarding immediate implant placement and guided bone regeneration procedure related to the esthetic zone before focusing on the soft tissue management. We will describe the prosthetic procedures which are performed before, during and after the surgical procedures. Provisional restorations, impression techniques, prosthetic profiles and restorative materials will be presented. The purpose of the presentation is to provide a check list that will guide the clinician developing a proper analysis and diagnosis for the successful esthetic result with implant supported restoration.

Presented By:: Gianluca Paniz, DDS, MS, FACP;Luca Gobbato, DDS, MS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Download Now

Important!

To view this dental publication or article, you must be a registered user of Dental XP. If you are already a member, click here to login.

Registration is free and only takes several minutes. Dental XP will never spam you, or sell your information.

Join For Free

Recognized Institutes




Contact Us | Privacy Policy | Terms of Use
©2019

Preferred Language: English Flag
Contact Us · Login · Register