Immediate implantation

  • Immediate implantation
    Tooth planned for extraction
  • Immediate implantation
    Extraction socket with intact walls
  • Immediate implantation
    Gap between implant and socket wall
  • Immediate implantation
    Application of maxresorb® inject
  • Immediate implantation
    Filling the gap around the implant with maxresorb® inject
  • Immediate implantation
    Abutment insertion
  • Immediate implantation
    Final restoration
According to the immediate implantation procedure, the implant is inserted into the fresh wound (extraction socket) immediately after tooth extraction. The use of this approach has many advantages such as the reduced number of interventions, treatment time, and surgical trauma. Importantly, filling the gap around the inserted implant with a bone grafting material can improve implant stability and prevent resorption of the buccal wall. An easy-to-apply putty, such as maxresorb® inject, is ideal in this case.
Covering of an immediately placed implant with permamem® - Prof. Z. Mazor

Immediately placed implant covered with permamem®. permamem® passively immobilized by sutures and intentionally left exposed to the oral cavity.

Immediate implant placement using cerabone® and collagen fleece - Dr. D. Jelušić

Pre-operative situation showing tooth 21 with deep periodontal pocket. Tooth presented with mobility grade III.

cerabone® and mucoderm® for immediacy in esthetic zone -Dr. M Motta

Initial view of the case. Discoloration of 1.1 and mild class I gingival recession

Missing buccal wall

When performing an immediate implantation in the absence of the buccal bone wall with a retraction of the gum, GBR and/or soft tissue augmentation are needed. If the buccal wall is missing, but a sufficient and non-retracted soft tissue is present, it may be then possible to perform an immediate implant placement with simultaneous regeneration.

Socket covering

A placement of a collagen sponge such as Jason® fleece around the implant supports the stabilization of the applied grafting material.

Setzen der Implantate direkt nach der Zahnextraktion

The predictability and success of an aesthetic outcome relies on the optimal conditions (i.e. an inflammation-free socket, stable soft tissue situation) and correct positioning of the implant. In particular, the basic requirement for a successful implantation is the primary stability of the implant. However, the natural tooth root and the implant differ in their geometry. To account for this difference and to allow for a stable integration of the implant, as well as to prevent resorption of the often extremely thin buccal wall, the gap between the implant shoulder and the margins of the alveolus may be filled with a bone graft material. Smaller gaps may not require augmentation, but the use of a grafting material may nonetheless improve the soft tissue contours. An easy-to-apply putty, such as maxresorb® inject, simplifies the procedure. The gap surrounding the implant may also be filled with a particulate bone graft material such as maxresorb®, cerabone®, or maxgraft® granules. Covering the socket with the Jason® fleece helps stabilize the grafting material, in particular after the application of a putty like maxresorb® inject.

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