Early implant placement following single-tooth extraction in the esthetic zone: biologic rationale and surgical procedures.
Early implant placement is one treatment option for implant therapy following single-tooth extraction in the anterior maxilla. The surgical technique presented here is characterized by tooth extraction without flap elevation, a 4- to 8-week soft tissue healing period, implant placement in a correct three-dimensional position, simultaneous contour augmentation on the facial aspect with guided bone regeneration using a bioabsorbable collagen membrane combined with autogenous bone chips and a low-substitution bone filler, and tension-free primary wound closure. The surgical step-by-step procedure is presented with a case report. In addition, the biologic rationale is discussed.
Buser
Daniel
D
Department of Oral Surgery and Stomatology, School of Dental Medicine, University of Bern, Bern, Switzerland. daniel.buser@zmk.unibe.ch
Chen
Stephen T
ST
Weber
Hans Peter
HP
Belser
Urs C
UC
D020341:Absorbable Implants; D000540:Alveolar Ridge Augmentation / Q000379:methods; D018786:Bone Substitutes / Q000627:therapeutic use; D016025:Bone Transplantation; D003094:Collagen; D003442:Crowns; D003758:Dental Implantation, Endosseous; D019250:Dental Implants, Single-Tooth; D004955:Esthetics, Dental; D005260:Female; D005500:Follow-Up Studies; D016557:Guided Tissue Regeneration, Periodontal / Q000379:methods; D006801:Humans; D007180:Incisor / Q000601:surgery; D008437:Maxilla / Q000601:surgery; D008567:Membranes, Artificial; D016348:Osseointegration / Q000502:physiology; D013524:Surgical Flaps; D013536:Suture Techniques; D014081:Tooth Extraction / Q000379:methods*; D020390:Tooth Socket / Q000601:surgery; D014945:Wound Healing / Q000502:physiology; D055815:Young Adult
D018786:Bone Substitutes; D008567:Membranes, Artificial; D003094:Collagen