Implant placement in fresh extraction sockets

Area of Science:

• Dentistry
• Oral Surgery
• Implantology

Background:

• Immediate implant placement survival rates are comparable to delayed approaches.
• Immediate implant placement can negatively impact alveolar bone anatomy, particularly the buccal bone crest.
• This can lead to bony dehiscences, soft-tissue recession, and compromised esthetics.

Purpose of the Study:

• To review factors influencing bone preservation after immediate implant placement.
• To identify anatomical, biological, surgical, and restorative elements that mitigate bone resorption.
• To assess the potential benefits and feasibility of immediate implant treatment approaches.

Main Methods:

• Systematic review of preclinical and human studies.
• Analysis of factors related to alveolar bone preservation.
• Evaluation of anatomical/biological and surgical/restorative considerations.

Main Results:

• Immediate implant placement alone does not preserve alveolar bone anatomy.
• Specific factors can prevent bone resorption, including gingival biotype, implant positioning, and grafting techniques.
• A critical treatment plan developed by an expert is essential.

Conclusions:

• Immediate implant placement can be successful when combined with strategies to prevent bone loss.
• Careful patient selection and meticulous surgical planning are paramount.
• The immediate approach can be beneficial for patients when executed by experienced professionals.