EARLY IMPLANT PLACEMENT IN EXTRACTION
SOCKET WITH PRESERVED BONE WALLS
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
› › Compensation of the bone resorption through
Ridge Preservation
› › Provide the patient with a final restoration in a
relatively short time period of time › › Almost complete maintenance of the ridge volume
is achieved
› › After 8–10 weeks, the soft tissue has a quality and
maturity that is adequate for early implant placement.
Before extraction.
15 – Treatment Concepts for Extraction Sockets
7 months after extraction.