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implants - international magazine of oral implantology

I user report _ immediate implantation & immediate loading Fig. 1_Following fracture of the crown of tooth #22 treated with a root post, only remnants of the root remained. The patient did not want the neighbouring teeth ground. Fig. 2_The panoramic radiograph shows, in addition to other findings (see text), the remnants of root 22 with incomplete root filling and a generalised horizontal bone defect. The reference ball for implant plan- ning can be seen at position 22. Fig. 3_The remnants of root 22 were removed with a periotome, while sparing the buccal lamella and soft tissue. Fig. 4_Probing of the extraction socket showed intact bony walls, especially the buccal walls. _The replacement of lost teeth with implants can be very time-consuming for patients. During thetemporisationphase,aestheticlimitationsoften havetobeaccepted.Thequickestandmostpatient- friendly option is immediate implantation with im- mediate temporisation. However, in order not to precipitate failure just as quickly, this form of treat- ment requires some experience and a working knowledge of the success factors. Classicalconceptsthatcallforlateimplantation and load-free healing are increasingly being called into question. On the one hand, modern implant surfaces and designs now permit shorter healing times than were possible in the past. Usually, restoration is successful after just six to eight weeks.1 This also leads to shorter overall treatment times for implantations in areas that are already fullyhealedorhavebeenedentulousforsometime. On the other hand, where possible and sensible, many experienced dentists and surgeons place im- plantsinthefreshsocketimmediatelyafterextrac- tion. The major advantage of this approach for pa- tients is treatment that is not only uniquely time- saving, but also less traumatic and costly. Immedi- ate temporisation also provides direct soft-tissue Success factors for immediate implantation with immediate loading A case example Author_Dr Rouven Bönsel, Germany 36 I implants3_2011 Fig. 1 Fig. 2 Fig. 3 Fig. 4