Review Article
Volume 17 Issue 8 - 2018
Immediate Post-Extraction Implant Placement, Immediate Function and Long-Term Prognosis. Factors Affecting Alveolar Ridge Changes
Luca Dal Carlo1, Marco E Pasqualini2, Franco Rossi3 and Mike Shulman4*
1Private Practice, Venice, Italy
2Private Practice, Milan, Italy
3Private Practice, Varese, Italy
4Private Practice, Cliffside, NJ, USA
*Corresponding Author: Mike Shulman, Private Practice, Cliffside, NJ, USA.
Received: March 30, 2018; Published: July 19, 2018
Citation: Mike Shulman., et al. “Immediate Post-Extraction Implant Placement, Immediate Function and Long-Term Prognosis. Factors Affecting Alveolar Ridge Changes”. EC Dental Science 17.8 (2018): 1368-1373.
Abstract
Clinical and radiographic observation demonstrating immediate, post-extraction implant placement, following complete bone regeneration. Bone deposition and turn over along the implant in the vertical direction. Soft tissue (gums) behavior with respect of the bone changes [1]. The implant design; monolithic implants (one-piece), implants with connected abutments (two- piece implant). Effect of micro mobility if present, in two-piece implants. Maintaining biological width with respect of augmented architecture of the bone, soft tissue (gums) and implant. Soft, hard tissue and implant interface. Study conducted on a regular every day office clinical situations when the extracted teeth were replaced with implants instantaneously and implants immediately loaded.
Aim of the Work:This clinical observation highlights following subjects. Recommendations in post-extraction conditions. Pros and cons of immediate implant placement and the long-term success rate of the bone regeneration [2]. Prognosis and soft tissue response with respect of the bone regeneration.
Materials and Techniques:In this article Authors summarizing and analyzing data from total 7000 dental implant cases collected xrays. Where 4500 one-piece implants and 2500 two-piece with minimum 5 years and maximum 25 years observation and valuation period. Approximately 50% were placed immediately in the post extraction sockets, and approximately 50% in the healed bone. Approximately 50% implants were immediately loaded. Atraumatic extractions, flapless approach, Implant site preparation following surgical protocol achieving bicortical stabilization implemented in all situations where possible. No additional bone grafting other than using autogenous bone from the osteotomy were performed. One-peace implants restored as one stage protocol. Two peace implants restored as one stage protocol, when one abutment utilized at all times [3,4]. Protective occlusal scheme utilized for the interim prosthesis as well as a permanent restoration [5]. One-piece implants advantage.
Keywords: Post-Extraction Implant; Bone Regeneration
Copyright: © 2018 Mike Shulman., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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