Fresh extraction socket: spontaneous healing vs. immediate implant placement

2014 ◽  
Vol 26 (11) ◽  
pp. 1250-1255 ◽  
Author(s):  
Nicola Discepoli ◽  
Fabio Vignoletti ◽  
Luigi Laino ◽  
Massimo de Sanctis ◽  
Fernando Muñoz ◽  
...  
2016 ◽  
Vol 36 (3) ◽  
pp. 401-407 ◽  
Author(s):  
Ariádene Pértile de Oliveira Rosa ◽  
José Martins da Rosa ◽  
Luís Pereira ◽  
Carlos Francischone ◽  
Bruno Sotto-Maior

2016 ◽  
Vol 28 (4) ◽  
pp. 103-110
Author(s):  
Mohammed Majid Abdulmunem ◽  
Jamal Abid Mohammed

2011 ◽  
Vol 39 (1) ◽  
pp. 91-97 ◽  
Author(s):  
Fabio Vignoletti ◽  
Nicola Discepoli ◽  
Anna Müller ◽  
Massimo Sanctis ◽  
Fernando Muñoz ◽  
...  

2017 ◽  
Vol 96 (8) ◽  
pp. 909-916 ◽  
Author(s):  
X. Pei ◽  
L. Wang ◽  
C. Chen ◽  
X. Yuan ◽  
Q. Wan ◽  
...  

Our objective was to clarify the fate of the periodontal ligament (PDL) retained in the socket after tooth extraction, then determine if this tissue contributed to the osseointegration of “immediate” implants placed in these fresh extraction sockets. Mice underwent maxillary first molar extraction, the residual PDL was removed by an osteotomy, and titanium implants were placed. The osteotomy was created in such a way that the palatal surface was devoid of PDL remnants while the buccal, mesial, and distal surfaces retained PDL fibers. At multiple time points after surgery, tissues were analyzed using a battery of molecular, cellular, and histomorphometrical assays. We found that PDL remnants mineralized and directly contributed to new bone formation in the extraction site. Compared with regions of an extraction site where the PDL was removed by osteotomy, regions that retained PDL fibers had produced significantly more new bone. Around immediate implants, the retained PDL remnants directly contributed to new bone formation and osseointegration. Thus, we conclude that PDL remnants are inherently osteogenic, and if the tissue is healthy, it is reasonable to conclude that curetting out an extraction socket prior to immediate implant placement should be avoided. This recommendation aligns with contemporary trends toward minimally invasive surgical manipulations of the extraction socket prior to immediate implant placement.


2020 ◽  
Vol 10 (24) ◽  
pp. 8944
Author(s):  
Konstantinos Valavanis ◽  
Ioannis Vergoullis ◽  
Michalis Papastamos ◽  
Henry Salama

Immediate implant placement and provisionalization in the esthetic zone is a desirable approach that presents several advantages but at the same time embosses several risk factors that can lead to sever esthetic complications. The purpose of this article was to propose a new protocol that could allow for the maintenance and even the improvement of the hard and soft tissue topography, leading to superior esthetic results. The proposed protocol, when certain criteria are met, could be applied even for cases where the extraction socket morphology is currently proposed as a contra-indication for immediate implant placement and provisionalization.


2017 ◽  
Vol 8 (3) ◽  
pp. 231-238
Author(s):  
Rafael S de Molon

ABSTRACT Aim The aim of this case report was to reconstruct the alveolar buccal bone plate lost in consequence of a root fracture in the maxillary central incisor area after immediate implant placement (IIP). A 48-year-old patient was referred to our office with the chief complaint of spontaneous bleeding in his left central incisor. After careful examination, the following comprehensive treatment approach was carried out: (1) Atraumatic tooth extraction, (2) IIP, (3) provisional prosthesis installation, (4) alveolar buccal bone plate reconstruction with autologous bone collected from the maxillary tuberosity, (5) gingival augmentation procedure with connective tissue graft removed from the palate, and finally (6) adjustment of the provisional restoration. After 1-year postoperative, an adequate esthetic outcome was achieved with lower cost, reduced morbidity to the patient, and lower treatment time. This approach was able to improve gingival architecture and bone volume with adequate thickness and width, enhancing patient esthetics and satisfaction. In conclusion, when proper diagnosis, precise surgical techniques, and appropriate multidisciplinary approach are employed, IIP followed by immediate dentoalveolar restoration might be considered a safe procedure to restore the peri-implant bone and gingival recession favoring the achievement of appropriate esthetic outcomes. Clinical significance The treatment planning employed was able to improve gingival architecture and bone volume with sufficient width and thickness enhancing patient esthetics and satisfaction in one single-stage procedure. How to cite this article de Molon RS, de Avila ED, Barros- Filho LAB, Cirelli JA, Borelli-Barros LA. Immediate Implant Placement with Simultaneous Regenerative Procedure in Fresh Extraction Socket. World J Dent 2017;8(3):231-238.


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