It is well established that tooth extraction will result in an apico-coronal as well as bucco-lingual reduction of the alveolar ridge, mostly in the buccal aspects of the extraction site. In order to avoid this physiological bone loss some clinicians have advocated the immediate installation of implants in fresh extraction sockets. Different clinical studies have evaluated the impact of this implant placement surgical approach on different outcomes, such as: implant survival, bone crest alterations and aesthetic results. However, in spite of these reports, there is a lack of well-designed clinical trials that have evaluated these outcomes systematically and there is a lack of knowledge on the possible factors associated with different hard and soft tissue outcomes of this surgical protocol. This presentation will review the results from clinical trials evaluating the immediate implant placement approach and we shall review the important risk factors (implant design, implant position, implant location, thickness of bony walls, etc.) involved in the clinical outcome. Finally we shall provide some clinical recommendations on the use of this surgical approach.
Presentation Objectives
• To discuss the different options to decide when there is indication to extract a tooth and replace it with a dental implant
• To discuss the outcomes of the immediate implant placement
• To discuss the advantages and disadvantages of this surgical protocol
• To evaluate the scientific evidence on the efficacy of this surgical protocol
• To evaluate the risk factors involved in this procedure
• To present representative cases illustrating the expected outcomes of this surgical procedure
