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Video Details
Controversies Surrounding Delayed vs. Immediate Implant Placement: Is There No Middle Ground?

Description:
Delayed vs. Immediate Implant Placement: The two camps in this debate are both adamant that their technique is the best and that theirs will give the patients the best long term aesthetic result. Is the literature and available data definitive on this matter? Is the choice really clear for clinicians? This presentation looks critically at the literature and attempts to give clinicians a more flexible approach to immediate and delayed implant placement. Critical surgical guidelines and clinical pearls will be offered for both types of treatment as well as the management of some of the complications that may arise from immediate or delayed implant placement.

Date Added:
5/14/2012

Author(s):

Howard Gluckman, BDS, MChD, PhD Howard Gluckman, BDS, MChD, PhD
Dr Gluckman completed his dental training at the university of Witwatersrand in Johannesburg in 1990. After spending a number of years in a general practice he complete...
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Online Videos / Surgery / Implant / Controversies Surrounding Delayed vs. Immediate Implant Placement: Is There No Middle Ground?




Questions & Comments
Howard Gluckman - (5/21/2015 4:13 AM)

Thanks Mo.

Maurice Salama - (5/19/2015 5:08 PM)

Howie; Just watched again....just great stuff. Thanks for sharing. regards Maurice

BORNA RASHIDISANGSARY - (8/20/2012 3:16 PM)

Dr. Gluckman , the following is the excerpt from " new clinical Periodontology and implant dentistry" 5th edition by Jan Lindhe, Page : 771 : Ablative laser therapy Ablative laser therapy targets both the soft and hard tissues of the periodontium. It has bacteriocidal and detoxification effects and can remove the epithelium lining and granulation tissue within the periodontal pocket which may potentially improve healing. Considering the possibility of bacterial invasion into the soft tissues of pockets, this effect could be an important factor in the treatment of moderate to deep pockets. However, studies have shown that curettage of granulation tissues had no added benefit over scaling and root planing (Lindhe & Nyman 1985; Ramfjord et al. 1987). Laser therapy is capable of removing plaque and calculus with extremely low mechanical stress and no formation of a smear layer on root surfaces. In addition the use of lasers may allow access to sites that conventional mechanical instruments cannot reach.

Howard Gluckman - (5/14/2012 4:26 PM)

Thank you Alper. Im not sure Ive ever calculated which one but I would safely say that the majority of cases that do not have any biccal bone destruction and that have a class 1 or 2 anatomical position will always be immediate and then the others who don't want to wait will also get immediate so I would say about 60% immediate and 40% delayed. I seldom do socket preservation as I feel it is a waste of time. One has to wait 6 months plus for the bone to take before you ca place an implant so in that case rather wait 2 months and then place your implant and do your bone augmentation then. reduces you treatment time for the same amount of surgery. Regards Howard

alper gultekin - (5/14/2012 2:03 PM)

Excellent presentation.What is the rate of your applications (immediate, late immediate, and socket preservation) in esthetic areas?

ana mateos - (5/14/2012 10:44 AM)

Dr. Gluckman this was an excellent lecture, and ill be sure not to take the baby out with the bathwater!

ana mateos - (5/14/2012 10:44 AM)

Dr. Gluckman this was an excellent lecture, and ill be sure not to take the baby out with the bathwater!

Howard Gluckman - (5/10/2012 10:51 AM)

Thanks meir and Maurice. I routinely place CT grafts now most often with a tunnel technique as it allows you to coronally reposition the gingival margin at the same time so when you get the 1mm recession it goes back to where it was. I see far more resorbtion in cases of multiple implants singles seem fine as they are kept together by the adjacent teeth. That is what makes your technique of leaving afoot in place and excellent one as it helps keep the general ridge width in place. It will be interesting to see the socket shield technique of Markus Hurzeler after 5 years. this may be a revolution for us.

Anna Kwasnik - (5/9/2012 7:51 PM)

I am not able to see the frame to watch this video, I just see the comments.

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