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Immediate implant placement in extraction sockets with buccal bone dehiscence: A case study.

Panagiotis Dragonas
Published in: Clinical advances in periodontics (2024)
Placing dental implants right after tooth extraction can lead to more visible aesthetic issues, especially gum recession. This is more common when the tooth socket is not intact or the gum tissue is thin. However, several techniques have shown good results even in these challenging situations. This study explores a method for implant placement right after tooth extraction in cases where there is bone missing on the socket. Three patients who needed teeth extracted and had bone loss on the outer side of their tooth sockets were treated. The treatment included: Extracting the teeth without cutting the gums, placing implants immediately, using GBR to help regrow bone, adding connective tissue grafts, and using custom healing cups to shape the gum tissue. After treatment, all the sites showed 1-2 mm of new bone on the outer side of the implants and thicker gum tissue without any recession. The gum and bone around the implants looked good 4 months to a year later. In conclusion, IIP in sockets with bone loss on the outer side can be effectively managed with this method, leading to good bone and gum tissue outcomes.
Keyphrases
  • bone loss
  • soft tissue
  • bone mineral density
  • bone regeneration
  • postmenopausal women
  • metabolic syndrome
  • adipose tissue
  • insulin resistance
  • ultrasound guided
  • newly diagnosed
  • combination therapy
  • smoking cessation