Dental Implant Design for Immediate Placement

Dental Implants which are favorable to immediate placement after extraction are as follows:

Tapered Implant
For immediate replacement after extraction, initial fixation is very important because the contact area between fixture and bone is inevitably small. Therefore, a tapered implant with has excellent initial fixation is more favorable than the straight type.

Oneplant design is favorable to GBR, photo credit: Oneplant

Oneplant design is favorable to GBR, photo credit: Oneplant

Implant Favorable to Bone Grafts
In case of placement after extraction, Guided Tissue/Bone Regeneration or GBR is frequently performed because of the dehiscence or space between the fixture and alveolar bone. Therefore, an implant design with a proper surface treatment for its alveolar ridge should be selected.

Implant that can be Placed by Approach
Molar teeth show excellent biomechanical results with double implants rather than single implants. However, in some cases, the socket of the adjacent root is so close that the 2 fixtures are placed closely. Although more than 3mm space is needed by classic standards, implants that have microthreads on the alveolar ridge do not result in bone resorption even if they are placed closely.

Wide Implants
It is necessary to select a diameter capable of minimizing the gap between the socket and the periimplant defect. The reason why a wide diameter is recommended is that it is favorable for initial fixation and does not require GBR. Therefore, selecting a system that has fixtures of variable diameters is advantageous. Oneplant has variable fixture diameters, for example, 3.3, 3.8, 4.3, 5.3, and 6.3mm. The 6.3mm is recommended for rescue.

For additional information about Oneplant, visit http://www.osseo.ph

  1. Excellent Pictures of technique by implant dentist. With experience the dentist can push the envelope and attempt guided bone regeneration and implant placement together such as this shows. For the implant surgeon that is just starting, I recommend a safer, graft first and wait, then place implant approach untill you gain enough experience that want to try something like this. I am sure most colleagues will agree.
    Carlos Boudet, DDS, DICOI

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