Enhanced soft tissue support in extraction sockets and sloped ridges
The main objective in modern implantology is to maintain and support peri-implant osseous and soft tissue structures to combine long-term osseointegration with an esthetic and natural peri-implant mucosa. Both, the patients demands and the doctors treatment objectives have changed over the decades. Today, an increasing number of patients demands highly esthetic rehabilitations in a very short time with minimal-invasive treatment protocols for single or multiple teeth replacements.
To meet the demand of faster and less invasive treatment protocols, immediate and early loading or provisionalization have been introduced. When implants were placed in healed sites these concepts have been reported as successful treatment protocol as long as the temporary restoration was cleared from occlusal and functional contacts.
Moreover, immediate implant placement in extraction sockets may further decrease the time frame from extraction to final restoration of the implant. Although, there is still an ongoing and sometimes passionate discussion on the long-term results of immediate implant insertion into extraction sockets there is growing evidence to support the concept of marginal tissue maintenance via immediate implant insertion protocols. Prospective studies have described the factors influencing the significant resorption of the buccal bone wall in horizontal dimensions following immediate implant insertion in the extraction socket with and without facial bony deficiencies when using a flap procedure and no defect grafting. To counteract the resorption of the facial bone wall, the implants in our studies were placed without elevating a facial flap and were strictly aligned to the oral cortical lining of the extraction socket to create a facial gap for autogenous bone grafting.
The aim of this dental webinar is to present strategies for achieving enhanced soft tissue support in sloped ridges and extraction sockets using a sloped implant design. Furthermore, the webinar attendes will be presented the survival rates, the maintenance of marginal bone support and the soft tissue esthetics after a follow-up of up to 10 years following flapless implant insertion into extraction sockets with and without deficiencies of hard and soft tissues and immediate provisionalization in the esthetic zone.
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