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Related Experiment Video

Updated: Apr 25, 2026

Experimental Model of Ligature-Induced Peri-Implantitis in Mice
05:37

Experimental Model of Ligature-Induced Peri-Implantitis in Mice

Published on: May 17, 2024

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Immediate implants at fresh extraction sockets: from myth to reality.

Fabio Vignoletti, Mariano Sanz

    Periodontology 2000
    |August 16, 2014
    PubMed
    Summary

    Immediate implant placement offers an alternative to delayed protocols but requires careful patient selection. Bone loss after tooth extraction is inevitable, impacting implant outcomes, especially in esthetic areas.

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    Same author

    Clinical Efficacy of Narrow-Diameter Tissue-Level Implants for Molar Replacement: A 1-Year Randomised Controlled Trial.

    Journal of clinical periodontology·2026
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    A Fasting-Mimicking Diet Affects the Inflammatory Response Following Periodontal Treatment: A Multi-centre Feasibility Randomised Controlled Pilot Trial.

    Journal of clinical periodontology·2026
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    Rotated pedicled palatal flaps for primary closure in immediate post-extractive guided bone regeneration at maxillary molar locations: A case report of a new technique.

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    Journal of clinical periodontology·2026

    Area of Science:

    • Dental Implantology
    • Oral Surgery
    • Periodontology

    Background:

    • Immediate implant placement is a common alternative to delayed protocols.
    • The influence of immediate implants on socket healing and clinical outcomes requires further validation.
    • Postextraction alveolar ridge remodeling is a significant biological process.

    Purpose of the Study:

    • To review experimental and clinical studies on immediate implant placement.
    • To assess bone healing dynamics and dimensional changes in extraction sockets with immediate implants.
    • To evaluate the impact of immediate implant placement on peri-implant tissues.

    Main Methods:

    • Narrative review of human and animal experimental studies.
    • Analysis of studies on hard and soft tissue healing after immediate implant placement.
    • Evaluation of clinical evidence regarding peri-implant tissue changes.

    Main Results:

    • Marked morphological changes in the alveolar ridge occur post-extraction, irrespective of implant placement.
    • Postextraction bone loss is an inevitable biological process.
    • Clinical studies show a risk of significant peri-implant tissue loss, particularly in esthetic zones.

    Conclusions:

    • Immediate implant placement has advantages but is technically demanding and has limitations.
    • Long-term evidence on peri-implant tissue preservation is lacking.
    • Careful consideration of patient factors (gingival biotype, bone wall integrity, smoking status) and surgical technique is crucial for successful immediate implant placement.

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