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Interradicular septum as guide for pilot drill in postextractive implantology: a technical note
Elias El Haddad1, Dorina Lauritano2, Francesco Carinci3
1Private Practice, Turin, Torino, Italy.
The Journal of Contemporary Dental Practice
|April 17, 2015
Summary
This study presents a technique for immediate dental implant placement after tooth extraction, using the interradicular septum as a guide. This method helps preserve bone volume and contours, improving outcomes for implant rehabilitation.
Area of Science:
- Dentistry
- Oral Surgery
- Implantology
Background:
- Tooth extraction causes significant vertical and horizontal bone resorption within the first month.
- Alveolar ridge reduction compromises dental implant rehabilitation success.
- Atraumatic extraction, immediate implant placement, and provisionalization are proposed to maintain tissue volume and reduce treatment time/cost.
Observation:
- A clinical case is presented for postextractive implantology in a mandibular molar.
- Extraction utilized the interradicular septum as a guide for pilot drilling.
- Implant placement and immediate provisionalization were performed in the extraction socket.
Findings:
- The technique allows precise implant centering on the alveolar ridge.
- It effectively maintains alveolar ridge edges, minimizing post-extraction bone loss.
- This approach offers significant advantages for final prosthetic rehabilitation.
Implications:
- This technique offers a viable solution for preserving alveolar bone post-extraction.
- It enhances the predictability and success of immediate dental implant restorations.
- It streamlines the treatment process for patients requiring tooth replacement.

