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Implant Treatment Sequencing Implant Treatment Sequencing

Author(s):

Lee H. Silverstein, DDS, MS, FACD, FICD;Gregori M. Kurtzman, DDS, Marc E. Moskowitz, DDS

Date Added:

1/6/2007


Summary:

Periodontal or endodontic related osseous infections of natural teeth may complicate implant treatment. Staging of the surgical aspects of the treatment is important to achieve the desired restorative objectives. Additionally, when cosmetic correction of adjacent natural teeth is required as part of the overall treatment, the final result will be influenced by proper sequencing. Implant surgical placement in immediate extraction sites has been well documented in the literature as a successful treatment option, and the direction of implant treatment is advancing toward immediate placement at the time of extraction. But, in the presence of active infection, osseous healing surrounding the newly placed implant may lead to a failure to fully integrate. Inflammation associated with endodontic infections, chronic periodontal infections, or acute infections with exudate creates a local environment that does not favor osseous healing and subsequent integration of the immediately placed implant

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