Practice abstract
British Dental Journal 201, 199 - 205 (2006)
Published online: 26 August 2006 | doi:10.1038/sj.bdj.4813881
Subject Category: Implants
Immediate implant placement: treatment planning and surgical steps for successful outcomes
W Becker1
- The most important step in treatment planning is determining the prognosis of the remaining dentition.
- There is some evidence that placement of foreign materials into extraction sockets will interfere with normal bone formation.
- Immediate implant placement when indicated provides several advantages for both practitioner and patient.
Implants
- Rationale for dental implants
- Treatment planning of implants in posterior quadrants
- Treatment planning of implants in the aesthetic zone
- Surgical guidelines for dental implant placement
- Immediate implant placement: treatment planning and surgical steps for successful outcomes
- Treatment planning of the edentulous maxilla
- Treatment planning of the edentulous mandible
- Impressions techniques for implant dentistry
- Screw versus cemented implant supported restorations
- Designing abutments for cement retained implant supported restorations
- Connecting implants to teeth
- Transitioning a patient from teeth to implants
- The role of orthodontics in implant dentistry
- Interdisciplinary approach to implant dentistry
- Factors that affect individual tooth prognosis and choices in contemporary treatment planning
- Maintenance and failures
Abstract
Diagnosis and treatment planning are key factors in achieving successful outcomes after placing and restoring implants placed immediately after tooth extraction. The efficacy of immediate implant placement has been established and shown to be predictable if reasonable guidelines are followed. Some or all of the following suggestions, depending on individual circumstances, should be considered when evaluating a patient for dental implants: thorough medical and dental histories, clinical photographs, study casts, periapical and panogram radiographs as well as a linear tomography or computerised tomography of the proposed implant sites. Reasons for tooth extraction include but are not limited to: insufficient crown to root ratios, remaining root length, periodontal attachment levels, periodontal health of teeth adjacent to the proposed implant sites, unrestorable caries, root fractures with large endodontic posts, root resorption, teeth with deep furcation invasions being considered as abutments for fixed partial dentures and questionable teeth in need of endodontic retreatment.
- Clinical Professor of Periodontics at the University of Southern California School of Dentistry, Los Angeles, California/Affiliate Professor of Periodontics at the University of Washington, Seattle, WA, 801 N. Wilmot, B2, Tucson, Arizona 85711, USA
Correspondence to: W Becker1 e-mail: branebill@comcast.net Portions of this paper were published in the California Dental Journal (2005; 33). Permission has been granted by CDA to use this article and photos. The article was not reproduced in its entirety.
