SPONTANEOUS HEALING FOR CANTILEVER
IMPLANT BRIDGE
The patient’s risk profile
Aesthetic risk factors
Low risk Medium risk High risk
Patient’s health I ntact 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
› › Prosthetic restoration of 2 side-by-side sockets in the
anterior area
› › Ridge Preservation for cantilever implant bridge
Before extraction.
13 – Treatment Concepts for Extraction Sockets
Conclusions
› › Early implant placement is suitable for 2 side-by-side
sockets
› › The collapse of the tissues during the 6-week healing
period can be compensated with a GBR contouring with
Geistlich Bio-Oss ® and Geistlich Bio-Gide ® .
5.5 months after extraction.