ISPHYDERABADDRVIRALIPATEL

PERIODONTISTIMPLANTOLOGIST&LASERDENTISTPRESIDENT,

GUJARATSTATEDENTALCOUNCILPROFESSOR&HEAD,

DEPTOFPERIODONTOLOGY,IMPLANTOLOGY&LASERDENTISTRY,

COLLEGEOFDENTALSCIENCES,BOPAL,AHMEDABAD

DrViralPatel

SocketPreservaBonwithImmediateImplantPlacement

•  SocketpreservaBontherapies:-significantlessverBcalandhorizontalcontracBonofalveolarcrest

•  ImmediateImplantCanPreservesocket

•  Clinicaloralimplantresearch,2012vol23

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RULEOF5TRIANGLESFORIMMEDIATEIMPLANTS

BuccalPlatePrimaryStabilityImplantDesignFillTheGapSoTTissueBiotypeRef:-jaimejiminez,daniallasanguino,spaindec2014

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TechniquestoMinimizeResorpBonaTerExtracBon

•  ImplantDiameterSelecBon•  BuccalGapBoneGraTing•  FlaplessExtracBonTechnique•  ContouredHealingAbutmentorContouredAbutmentwithProvisionalRestoraBon

•  SocketShieldingTechnique

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DiameterSelecBoninImmediateExtracBonsocket

•  ConvenBonalProtocol•  NewerProtocol

Ref:-JosecarlosmarAnsdarosa,etalDentalPressImplantologyAprilJune20148[2]80

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ConvenBonalProtocol:-Mesio-DistalDistance

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NewerProtocol

•  BuccoPalatalDistance

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•  3mmDistanceoftheimplantsurfacetotheouterbuccalwall

•  Andthegapmustbefilledwithbiomaterial

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BuccalbonegraT

•  PlacingbuccalbonegraTintheresiduallabialgapinextracBonimplantplacementreducestheamountoffacio-palatalcontourchange.

•  AndsomecollapseisallwaysobservedcomparedtoadjacentnaturaltoothbutitissBllcanbereducedwithflaplessextracBontechniquesandbuccalbonegraTing.

•  Ref:-Tarnow,Salama,Garber,SAphenChu,etal:thejournalofperiodonAcs&restoraAvedenAstry2014page323

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FlaplessExtracBonTechniqueBuccalGraT&ContouredAbutment

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Case2

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3months

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SmallestAmountofFascio-PalatalContourchange

FlaplessextracBontechniqueBonegraTingoftheextracBonsocketattheBmeofimplantplacementStabilizaBonofthegraTmaterialwith[a]placingacontouredhealingabutment/[b]custom-contouredprovisionalrestoraBon.Ref:-Tarnow,Salama,Garber,SAphenChu,etal:thejournalofperiodonAcs&restoraAvedenAstry2014page323

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SocketShieldingTechnique

•  ResorpBonofthebuccalbundlebonecanbeavoidedbyleavingabuccalrootsegment(socketshieldtechnique)inplace,becausethebiologicalintegrityofthebuccalperiodonBum(bundlebone)remainsuntouched

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SocketShieldingTechnique

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ImplantPlacement&GraT

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Summary

RecommendaBonsforImmediateImplant•  FlaplessExtracBon•  BuccalgapbonegraT•  Contouredabutment&ProvisionalrestoraBontostabilizethebonegraT

Ref:-Tarnow,Salama,Garber,SAphenChu,etal:thejournalofperiodonAcs&restoraAvedenAstry2014page323

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