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ePaper created 2017-12-04, 09:17:08 | version 1.38.0
I C.E. article_ bone-expansion technique Fig. 14 Fig. 15 Fig. 16 Fig. 17 Fig. 14_Positioning of the implant. Fig. 15_Immediate implant placement with temporary crown. Fig. 16_Control panoramic view at two months. Fig. 17_Permanent crown at three months. It should be kept in mind that if you want to avoid using filling materials, tissue must be conditioned to enable its regeneration. For immediate post-extraction implant placement, lasers are of unrivalled usefulness because they enable socket decontamination and in- duce bone regeneration. If the basic principles of this bone regeneration are respected, the conditions are adequate enough to enable bone growth without the use of biomaterials. These advantages are decisive during preparations such as alveolar sinus lifts as well as “split crest” where the buccal cortical bone is generally very fragile. Vital importance is attributed to the closure of soft tissue during implant placement, either by carefully choosing the healing screw (the height and diameter) or the implant abutment, enabling slight compression of soft tissue and providing the implant/prosthetic connection system with a “barrier” that enables the regeneration of the two families of tissues. These minimally invasive techniques still require many improvements and more widespread validation. However, for ethical and safety reasons, the practitioner should always suggest the least invasive technique that contributes to, guides and induces this tissue regen- eration for which, most of the time, we have the matrix around these traumatized zones. References are available upon request from the publisher._ _about the author the Dr. Gilles Chaumanet graduated from University of Nantes in 1983. He has worked in more than 15 different countries on four conti- nents. Since 2000, the practice of laser in his field has revolutioned his procedures. His practice is limited to oral surgery and implantology in Paris and Verona, Italy. He holds different masters and post-graduates in laser, periodontology, implant therapy, oral surgery, anatomy and radiology. He is president of SOLA France (Society for Oral Laser Application), ambassador of Global Oral Implant Academy (GOIA), active member of CENALOS, member of French Society of Medical Laser (SFLM), member of International Academy of Periodontology (IAP), member of Italian Society of Oral Surgery (SICO) and member of AGLZ Academy. He lectures widely in Europe, America and the Middle East. He is in private practice in Villeneuve-Loubet (France) and Verona (Italy). To learn more, visit www.drchaumanet.com. 08 I implants 2_2017