Immediate Implant Treatment Protocols: Guidelines for success

Dr. Mohamad EL MASRI


Clinical and experimental studies have shown that tooth extraction always leads to bone resorption and atrophy of the alveolar ridge. The loss of both hard and soft tissues may complicate and render difficult the proper and successful future implant placement. Several protocols have been demonstrated to be essential to be followed in order to increase the success rate of the immediate implant treatment.Atraumatic extraction followed by immediate socket grafting, and early implant placement with GBR seem to be predictable ways to preserve the dimensions, contour and architecture of the alveolar frame and the residual ridge. Moreover, minimally invasive surgical methods have the benefit of further minimizing the patient burden, simplify the procedures and accelerate healing.

Good treatment planning, the choice of implant design, the surgical procedure are essential factors in the success of the treatment.

In clinical practice, several bone graft substitutes of biologic or synthetic origin are being used for alveolar ridge preservationand bone regeneration prior to implant placement, or simultaneously with implant placement for ridge augmentation. It is of great importance that these materials vary in chemical composition, mechanical characteristics and biological mechanism of function regarding resorption and new bone formation, each having their own advantages and disadvantages. Moreover, there is an important effect on the quality of the regenerated bone, and this may influence primary stability, osseointegration, function and long-term stability of implants and surrounding tissues.

This lecture will focus on the importance and rational of using IDCam ST in the immediate implant treatment benefitting from its design, and the use novel resorbable synthetic bone grafting substitutes and following minimally invasive surgical techniques that clinicians may utilize in order to achieve predictable, functional and aesthetic implant rehabilitations.

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