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Immediate replacement of single upper posterior teeth: a report of cases
Jaime A Vergara1, Raúl G Caffesse
1Universidad Autónoma de Nuevo León, Monterrey, México. jvergara810@pol.net
Background:
The immediate replacement of upper molar teeth with implants poses a significant challenge to the clinician because of its sinus involvement.
Purpose:
The purpose of this article is to report a protocol in which single molar teeth are replaced immediately with implants, minimizing the need for other surgical procedures.
Materials And Methods:
This protocol has been employed in eight cases. Briefly, the teeth are extracted atraumatically, the sockets evaluated, an osteotomy performed following the direction of the socket, and a wide diameter implant placed using the socket walls and sinus floor to anchor it. A grafting material is placed when the space between implant and socket wall is considerably large. Three cases are reviewed here, and all eight are summarized.
Results:
All cases have excellent soft and hard tissue healing after 6 months. Furthermore, the overall time needed to restore the cases has been considerably reduced and the need for sinus management eliminated.
Conclusion:
The cases presented support the use of the described protocol in the placement of implants in maxillary molar areas without any other sinus procedures.
