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Case Reports
. 2015 Apr 13;7(3):80-5.
eCollection 2014 Jul-Sep.

Simplified type 3 implant placement, after alveolar ridge preservation: a case study

F Cecchetti  1 , F Germano  1 , F N Bartuli  1 , L Arcuri  1 , M Spuntarelli  1
Affiliations
Case Reports

Simplified type 3 implant placement, after alveolar ridge preservation: a case study

F Cecchetti et al. Oral Implantol (Rome). .

Abstract

Alveolar ridge, after tooth extraction, could reduce its volume up to 50% in buccal-lingual width in the first twelve months and residual dimensions could interfere with correct three dimensional placement of implants and influence negatively treatment outcomes with regard to function and aesthetic aspects. Over the last decades, several approaches have been proposed and tested in order to prevent ridge volumetric contraction and provide maximum bone availability for implant procedure. This article presents a case study with a single anterior tooth replacement, illustrating socket seal technique followed by a type 3 timing implant placement. Immediately after tooth extraction, residual socket was grafted using Deproteinized Bovine Bone Mineral and a free gingival punch harvested from palate. After 3 months, a root-form titanium implant was inserted without additional regenerative procedures. Follow-up examination revealed favourable preservation of soft tissue width and height in the aesthetic area. Socket seal approach maximizes soft tissue healing, preserving ridge envelope and the subsequent implant placement, furthermore, results simplified, as any augmentation techniques are required. Clinical advantages of this method include predictable preservation of the soft tissues, favourable healing features, easy handling of graft materials and a positive benefit-cost ratio.

Keywords: gbr; ridge preservation; socket preservation.

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Figures

Figure 1
Figure 1
Tooth #2.1 needs to be extracted.
Figure 2
Figure 2
Radiographic evaluation at the time of extraction.
Figure 3
Figure 3
Residual socket after gentle extraction.
Figure 4
Figure 4
Aluminium foil chip with socket dimensions at the donor site.
Figure 5
Figure 5
DBBM is applied into the socket.
Figure 6
Figure 6
Soft tissue punch is sutured to the gingival margin.
Figure 7
Figure 7
Clinical situation after three months.
Figure 8
Figure 8
Evaluation of preserved ridge dimensions on TC scans.
Figure 9
Figure 9
Evaluation of preserved ridge dimensions on TC scans.
Figure 10
Figure 10
Implant placement after 3 months of extraction.
Figure 11
Figure 11
Provisional crown cemented 90 days after implant procedure.
Figure 12
Figure 12
Zirconia based ceramic crown positioned 6 months later implant placement.
Figure 13
Figure 13
Occlusal aspect at 6 months after implant procedure.
See this image and copyright information in PMC

References

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