Saurabh Chaturvedi1*, Mohammed A Alfarsi2, Mudita Chaturvedi3, Kaushik Pandey4 and Sunil Kumar Vaddamanu5
1Assistant Professor, Department of Prosthetic Dentistry, College of Dentistry, King Khalid University, Abha, Saudi Arabia
2Assistant Professor & Head of Department, Department of Prosthetic Dentistry, College of Dentistry, King Khalid University, Abha, Saudi Arabia 3Assistant Professor, Department of Oral Pathology, Career Post Graduate Institute of Dental Sciences, Lucknow, IndiaArabia
4Assistant Professor, Department of Prosthetic Dentistry, Career Post Graduate Institute of Dental Sciences, Lucknow, India
5Assistant Professor, Department of Dental Technology, King Khalid University, Abha, Saudi Arabia
Received: 27 May, 2017; Accepted: 15 June 2017; Published: 16 June, 2017
Saurabh Chaturvedi, Assistant Professor, Department of Prosthetic Dentistry, College Of Dentistry, King Khalid University, Abha, Kingdom of Saudi Arabia, Tel: 0580697248; E-mail:
Saurabh C, Alfarsi MA, Chaturvedi M, Kaushik P, Sunil Kumar V (2017) Immediate Implant with simultaneous Ridge Augmentation. J Dent Probl Solut 4(2): 036-039.
© 2017 Saurabh C, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Immediate implant; Extraction; Ridge graft
In the anterior maxilla the degree of horizontal bone resorption in post extraction site is nearly twice as high as that of vertical bone resorption during first month. An increasingly common strategy is to preserve bone that includes the placement of dental implant into fresh extraction site. Immediate implant placement reduces the amount of time anticipated for loading and the number of surgical interventions which in turn yields higher patient’s satisfaction.
Finally elimination of the wait period for primary healing of the soft tissues and regeneration of osseous structure significantly shortens the overall treatment time and transitional state without teeth. This short communication about immediate implant case reflects upon several steps followed for an immediate placement of dental implant in fresh extraction socket and outlines its advantages.
Immediate implant placement refers the implant placed immediately into the socket after tooth extraction . It is regarded as a sustainable technique; provided that proper patient selection and meticulous surgical procedures are implemented . Clinical studies have demonstrated that the success rate of immediately placed implants is similar to that implants placed after healing of extraction sites [3-5]. A key factor in esthetic success is presence or absence of adequate alveolar bone (height, volume, and thickness of the cortical plate) at the implant site, since the gingival contour follows the underlying osseous crest [6-7].
In maxilla, atrophy is more severe during the first month of post-extraction and the loss of buccal alveolar plate following tooth extraction may lead to palatal positioning of the implants . Following alveolar bone loss, an immediately placed implant should engage the bone apical to the socket for primary stability. In addition, if the angulations and location of the implant is different from the extraction socket, either a larger and tapered implant and/or bone graft material should be used to minimize the possibility of healing with soft tissue between the implant and bone. Schwartz-Arad and Chaushu  reported that bone chips collected adjacent to implant sites could be used to fill the defects without the use of membrane if the wounds could be closed by coronally repositioned flaps. An alternative technique known as Socket Shield Technique (SST) is an alternative approach to limiting remodeling and resorption by retaining the facial part of the root during tooth extraction. An immediately placed implant supports the facial root fragment, preventing the collapse of the buccal wall. The SST reduces the number of surgical and prosthetic interventions required to one each for pre-operative planning, surgical procedures, and prosthetic rehabilitation. The SST is a minimally invasive implantological approach offers patients and clinicians multiple benefits .
In this case report, immediate implant placement with simultaneous ridge augmentation in the anterior region is described. The final restoration was in complete harmony with the surrounding hard and soft tissue and yield high degree of satisfaction from the patients.
A 24 year old male patient reported to the dental clinic with the complaint of un-esthetic look in relation to upper anterior region. Patient had no positive medical history. Clinical and radiographic examination showed missing crown portion and fractured root with approximately 6 mm below the gingival margins in relation to maxillary left central incisor (Figure 1).