Brånemark PI, Hansson BO, Adell R Osseointegrated implants in the treatment of the edentulous jaw. Experience from a 10-year period. Scand J Plast Reconstr Surg Suppl. 1977; 16:1-132
Hämmerle CH, Araújo MG, Simion M Osteology Consensus Group 2011. Evidence-based knowledge on the biology and treatment of extraction sockets. Clin Oral Implants Res. 2012; 23:(Suppl 5)80-82 https://doi.org/10.1111/j.1600-0501.2011.02370.x
Schulte W, Kleineikenscheidt H, Lindner K, Schareyka R Das Tübinger Sofortimplantat in der klinischen Prüfung [The Tübingen immediate implant in clinical studies]. Dtsch Zahnarztl Z. 1978; 33:348-359
Cosyn J, Eghbali A, De Bruyn H Immediate single-tooth implants in the anterior maxilla: 3-year results of a case series on hard and soft tissue response and aesthetics. J Clin Periodontol. 2011; 38:746-753 https://doi.org/10.1111/j.1600-051x.2011.01748.x
Raes F, Cosyn J, Crommelinck E Immediate and conventional single implant treatment in the anterior maxilla: 1-year results of a case series on hard and soft tissue response and aesthetics. J Clin Periodontol. 2011; 38:385-394 https://doi.org/10.1111/j.1600-051x.2010.01687.x
Cosyn J, Eghbali A, Hermans A A 5-year prospective study on single immediate implants in the aesthetic zone. J Clin Periodontol. 2016; 43:702-709 https://doi.org/10.1111/jcpe.12571
Kan JY, Rungcharassaeng K, Lozada JL, Zimmerman G Facial gingival tissue stability following immediate placement and provisionalization of maxillary anterior single implants: a 2- to 8-year follow-up. Int J Oral Maxillofac Implants. 2011; 26:179-187
Chen ST, Buser D Esthetic outcomes following immediate and early implant placement in the anterior maxilla—a systematic review. Int J Oral Maxillofac Implants. 2014; 29:(Suppl)186-215 https://doi.org/10.11607/jomi.2014suppl.g3.3
Tonetti MS, Cortellini P, Graziani F Immediate versus delayed implant placement after anterior single tooth extraction: the timing randomized controlled clinical trial. J Clin Periodontol. 2017; 44:215-224 https://doi.org/10.1111/jcpe.12666
Quirynen M, Vogels R, Alsaadi G Predisposing conditions for retrograde periimplantitis, and treatment suggestions. Clin Oral Implants Res. 2005; 16:599-608 https://doi.org/10.1111/j.1600-0501.2005.01147.x
Chappuis V, Engel O, Reyes M Ridge alterations post-extraction in the esthetic zone: a 3D analysis with CBCT. J Dent Res. 2013; 92:195S-201S https://doi.org/10.1177/0022034513506713
Kan JY, Rungcharassaeng K, Sclar A, Lozada JL Effects of the facial osseous defect morphology on gingival dynamics after immediate tooth replacement and guided bone regeneration: 1-year results. J Oral Maxillofac Surg. 2007; 65:13-19 https://doi.org/10.1016/j.joms.2007.04.006
Morton D, Chen ST, Martin WC Consensus statements and recommended clinical procedures regarding optimizing esthetic outcomes in implant dentistry. Int J Oral Maxillofac Implants. 2014; 29:(Suppl)216-220 https://doi.org/10.11607/jomi.2013.g3
Chen ST, Darby I The relationship between facial bone wall defects and dimensional alterations of the ridge following flapless tooth extraction in the anterior maxilla. Clin Oral Implants Res. 2017; 28:931-937 https://doi.org/10.1111/clr.12899
Cooper LF, Raes F, Reside G Comparison of radiographic and clinical outcomes following immediate provisionalization of single-tooth dental implants placed in healed alveolar ridges and extraction sockets. Int J Oral Maxillofac Implants. 2010; 25:1222-1232
Kohal RJ, Hürzeler MB, Mota LF Custom-made root analogue titanium implants placed into extraction sockets. An experimental study in monkeys. Clin Oral Implants Res. 1997; 8:386-392 https://doi.org/10.1034/j.1600-0501.1997.080505.x
Paolantonio M, Dolci M, Scarano A Immediate implantation in fresh extraction sockets. A controlled clinical and histological study in man. J Periodontol. 2001; 72:1560-1571 https://doi.org/10.1902/jop.2001.72.11.1560
Kan JY, Rungcharassaeng K, Morimoto T, Lozada J Facial gingival tissue stability after connective tissue graft with single immediate tooth replacement in the esthetic zone: consecutive case report. J Oral Maxillofac Surg. 2009; 67:40-48 https://doi.org/10.1016/j.joms.2009.07.004
Tarnow DP, Chu SJ, Salama MA Flapless postextraction socket implant placement in the esthetic zone: part 1. The effect of bone grafting and/or provisional restoration on facial-palatal ridge dimensional change-a retrospective cohort study. Int J Periodontics Restorative Dent. 2014; 34:323-331 https://doi.org/10.11607/prd.1821
Chu SJ, Hochman MN, Tan-Chu JH A novel prosthetic device and method for guided tissue preservation of immediate postextraction socket implants. Int J Periodontics Restorative Dent. 2014; 34:(Suppl 3)S9-S17 https://doi.org/10.11607/prd.1749
Szmukler-Moncler S, Piattelli A, Favero GA, Dubruille JH Considerations preliminary to the application of early and immediate loading protocols in dental implantology. Clin Oral Implants Res. 2000; 11:12-25 https://doi.org/10.1034/j.1600-0501.2000.011001012.x
Takeshita K, Vandeweghe S, Vervack V Immediate implant placement and loading of single implants in the esthetic zone: clinical outcome and esthetic evaluation in a japanese population. Int J Periodontics Restorative Dent. 2015; 35:715-723 https://doi.org/10.11607/prd.2494
Chen ST, Buser D Esthetic outcomes following immediate and early implant placement in the anterior maxilla – a systematic review. Int J Oral Maxillofac Implants. 2014; 29:(Suppl)186-215 https://doi.org/10.11607/jomi.2014suppl.g3.3
Gallucci GO, Hamilton A, Zhou W Implant placement and loading protocols in partially edentulous patients: A systematic review. Clin Oral Implants Res. 2018; 29:(Suppl 16)106-134 https://doi.org/10.1111/clr.1327
There are a number of protocols that the clinician has to consider when providing implant treatment. Immediate implant placement has its place in implant dentistry and should be considered following a strict case selection. This article discusses the factors that should be taken into account when planning and providing immediate implant placements, with an emphasis on achieving a good outcome. The evidence base is discussed with a description of the surgical stages involved and subsequent restoration. Cases to illustrate this technique and its limitations are presented.
CPD/Clinical Relevance:
Principles for single tooth implant replacement in the anterior maxilla, where aesthetic expectations are high are relevant to clinicians.
Article
Clinicians often encounter situations where dental extraction of a single tooth in the aesthetic zone is required. The objective in these cases is obtaining a successful aesthetic and functional outcome. The purpose of this article is to discuss the important aspects that need to be considered when selecting patients to undergo immediate implant placement. The indications and contraindications of immediate implant placement will be explored in detail to guide the dental practitioner on selecting appropriate cases. Moreover, this article describes the steps involved in adopting this technique from clinical examination, tooth extraction, immediate implant placement, temporization and definitive restoration.
Four implant placement protocols have been introduced by the International Team of Implantology (ITI) outlining the timing of implant placement and loading protocols. ITI classifications are detailed in Figures 1 and 2 and Table 1.
All four implant protocols can be used in appropriate situations and they are favoured by different clinicians in varying circumstances. The early placement techniques (type 2 and 3) have been gaining popularity. The benefits of adopting these protocols are:
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