Immediate implant placement

Treatment plan:

1. Extraction of teeth #22 and #12 and immediate implant placement with GBR
2. Restoration of the implants 4-6 months later r

Tips:

1. Due to the presence of a very thin buccal plate of the socket as well as on the edentulous area adjacent to the extractions (sites: #11, and 21) we anticipated more bone resorption despite the use of GBR.  An estimation of approximately 1.5-2mm vertical bone loss is expected, therefore the dental implants were placed 2mm sub-crestally.

3. The smooth collar of the implant won't be able maintain the height bone. For that reason it is better to utilize implants with full rough surface treatment in such cases.

4. We used these specific implants as requested by the restorative dentist

5. The open margins of the restoration are located far away from the crestal bone and 0.5mm subgingivally. Thus the environment is relatively aerobic and can be maintained clean with oral hygiene.

I posted this case to point out some factors that could be done better and optimize the result. It will be interesting to see how this case will hold on with time. I will keep you updated as the time passes.

Ioannis