EARLY IMPLANT PLACEMENT WITH GBR
AFTER 8 WEEKS OF SPONTANEOUS HEALING
The patient’s risk profile
Aesthetic risk factors
Low risk Medium risk High risk
Patient’s health Intact immune system
(non-smoker) Light smoker I mpaired immune system
(heavy smoker)
Patient’s aesthetic requirements Low Medium High
Height of the smile line Low Medium High
Gingival biotype Thick
“low scalloped” M edium
“medium scalloped” T hin
“high scalloped”
Shape of dental crowns Rectangular Infections at implantation site None Chronic Acute
Bone height at adjacent tooth ≤ 5 mm from
contact point 5.5–6.5 mm
from contact point ≥ 7 mm from
contact point
Restorative status of
adjacent tooth Intact Width of tooth gap 1 tooth (≥ 7 mm) Soft-tissue anatomy Intact Bone anatomy of the
alveolar ridge No defect
Triangular
Restored
1 tooth (< 7mm)
2 teeth or more
Defective
Horizontal defect
Vertical defect
Quintessence
Objectives Conclusions
› › Pleasing aesthetic outcome
› › Long-term stable bone and soft-tissue situation in
the aesthetic region › › The low substitution rate of Geistlich Bio‑Oss ® helps
to maintain the volume of the alveolar ridge over time,
which is crucial for the long-term aesthetic outcome.
› › Minimal marginal bone loss and low risk of mucosal
recession.
Before extraction.
11 – Treatment Concepts for Extraction Sockets
7.5 years after implant therapy.