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Description
Immediate implant placement is a surgical approach that gained tremendously in popularity
and patient acceptance throughout the years. One of the most desirable features of this technique
is the potential in optimizing esthetic success by preserving the existing osseous and gingival
architecture, with a reduced overall treatment time, invasiveness, and cost. However, unsuccessful
treatments can occur if crucial biological principles are not respected. A thorough discussion
concerning the bone remodeling process that occurs after tooth extraction and the 3D implant
positioning in immediate implants is required. Together, these two factors will dictate the outcome
of the peri implant tissue dimensions and architecture by their direct influence and interactions
with other essential elements such as periodontal phenotype, loading protocol, abutment/prosthesis design, hard and soft-tissue augmentation.
Upon completion of this presentation, participants should be able to: 1) identify the 3D alveolar ridge changes impact on immediate implant therapy; 2) select the ideal implant position and prothesis design for immediate implant cases based on patient's anatomy; and 3) explain the influence of hard- and soft-tissue augmentation in the peri-implant tissues during immediate approaches.