Immediate implant placement 




The opinions and photographs within this web page are not ours.
Authors have been credited  for the individual posts where they are.
- Photos courtesy of Liviu  - www.rxroots.com

From: Liviu Steier
Sent: Thursday, March 08, 2007 2:12 PM
To: implants@rximplants.com
Subject: Re: [implants] Case of the day immeidate implant placement

This young lady had a resorbed but persistent deciduous tooth 52. Now after ortho she wanted an aesthetic improvement. We started today with the extraction - immediate implant placement - temporizing. - Liviu







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Liviu, What diameter is this implant? - DanS

3mm width (Biohorizons btw.) - Liviu

Thanks for sharing as always Liviu - now the rest of you.........
let's see some Astra Tech, some Ankylos, 3i, et al...........Kendo

I’ve used the biohorizons myself for immediate placement in laterals and lower incisors.  They work nicely.- Gary



Yes, but there is room here for a wider implant, is there not? - DanS

I don't think so.  the width of a mandibular incisor is greatest at the incisal, narrowest at the cervical.  to achieve
proper emergence profile, 3mm is about all i could place here. wider imho would have created emergence profile issues
and not left an adequate diameter of bone between implant and adjacent teeth. - gary

Absolute correct! I second your opinion.
The emergence profile and the remaining bone diameter are the issues.- Liviu

Brilliant minds think alike Liviu! J  must be the german genes - Gary

I was referring to Liviu's case.  Your case is a very tight fit.- DanS

Let me try this again.  Liviu, I thought you could have fit a wider implant in your case, so I was wondering why
you chose a 3mm implant.- DanS

Dan,

Gary and myself tryed to explain you the logic behind:
According to:

Salama, H., Salama, M.A., Garber, D.A., and Adar, P. (1998).

The distance Tooth-Implant should be 1.5mm. The total available place between the teeth was 5 mm.
Using a 3mm implant I was still successfully in  maintaining about 1mm distance tooth implant.
This distance is important for:

1. Prosthetic emergence profile.
2. Interproximal bone preservation.
3. Optimal gingival esthetic profiles.

Hope I was now more successfully in explaining the rational.- Liviu

Liviu, Sorry, looked like a much larger space to me.  That is the disadvantage of commenting on a case you did not see.
With only five mm you have to go with 3mm implant.- DanS