Immediate Implant Placement With or Without Buccal Bone Dehiscence

Clinical, Radiographic and Aesthetic Evaluation of Immediate Implant Placement With or Without Buccal Bone Dehiscence in the Anterior Maxilla

Immediate implant placement has been advantageous in terms of reduced treatment time and fewer surgical interventions. Given the fact that the level of buccal bone acts as a major prognostic factor for IIP, the indications for immediate implant placement were suggested to be limited to intact alveolar sockets.In recent years, many attempts have been performed to compensate for the alveolar ridge resorption in immediate implant placement in compromised sockets. The clinical outcomes of IIP with guided tissue regeneration and connective tissue grafting using papilla preservation technique in compromised extraction sockets has not been previously reported.

Inclusion Criteria:

• patients with anterior failing teeth (from cainine to cainine) with the presence of neighbouring teeth
• sufficient bone volume to achieve primary stability at implant insertion

Exclusion Criteria:

• with uncontrolled periodontitis
• heavy smoker (>10 cigarettes/day)
• unwilling to sign the informed consent