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Article:

Flapless Postextraction Socket Implant Placement in the Esthetic Zone: Part 1. The Effect of Bone Grafting and/or Provisional Restoration on Facial-Palatal Ridge Dimensional Change

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Author(s):

Maurice Salama, Dennis Tarnow, David Garber, henry salama, Stephen Chu, DMD, MSD, CDT, Christian Stappert, DDS, MS, PhD, Priv-D...Christian Stappert, DDS, MS, PhD, Priv-Doz

Date Added:

7/3/2014

Category:

Implant, Bone Grafting,
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Summary:

The dental literature has reportted vertical soft tissue changes that can occur with immediate implant placement, bone grafting, and provisional restoration ranging from a gain or loss of 1.0mm. However, little is known of the effects of facial-palatal collapse of the ridge due to these clinical procedures. Based upon treatment modalities rendered, an ensuing contour change can occur with significant negative esthetic consequences. The results of a retrospective clinical cohort study evaluating the change in horizontal ridge dimension associated with implant placement in anterior postextraction sockets are presented for four treatment groups. Therefore, it is recommended to place a bone graft and contoured healing abutment or provisional restoration at the time of flapless postextraction socket implant placement.