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Is guided bone regeneration needed when placing immediate dental implants?

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Sam Khoury

Implant dentistry has been advanced a lot. It led to the existence of several techniques and modifications in implant dentistry. This way, there have been faster, more esthetic, and less invasive approaches to follow during the placement of implants. The most popular innovation was to place an implant immediately after the extraction of the tooth, which eliminated the need for four to six months post-extraction healing, as well as a remodeling period.


The immediate implant placement has been proven to be a greatly successful approach and offers many benefits as compared to the conventional technique of implant placement like the reduction in the number of surgical procedures, preservation of the remaining alveolar bone dimensions, and better implant orientation throughout placement because of clear visualization of the extraction socket borders. It has provided a great enhancement to the esthetics by regulating the surrounding soft tissues. 


Challenges to overcome


While performing the immediate implant placement treatment, there may be many challenges professionals need to deal with. These are:

  • Morphology of the site
  • The absence of keratinized tissue
  • The existence of periapical pathology
  • Thin tissue biotype
  • The absence of complete soft tissue closure over the extraction socket


This is why there must be a proper case selection and vigilant case evaluation so that the results can be achieved successfully. Another main challenge that is not resolved yet is that while placing an implant immediately in the socket, there is always a space in the area that surrounds the coronal portion of the implant known as the jumping distance. It is because of the discrepancy in size and form between the socket and the implant morphology. It can result in bone resorption and bad formation of a bony defect, particularly in the labial area.


Solutions


This is why there are a number of surgical techniques present in the dental market. The best way to overcome this challenge is to make use of the bone grafting materials and different barriers, which will help fill the space around the implants. These surgical techniques can be used to maintain the architecture of hard and soft tissues. In fact, these techniques also help in regenerating the lost bone in areas where bony defects took place. There should be an optimal type of bone graft material, which is a combination of synthetic particulate and cortical autogenous. This is how the use of bone graft or guided bone regeneration can aid the surgeon in the proper planning of the treatment with enhanced functional and esthetic results. Dental Implant Smiles have expert dental surgeons, who can resolve such issues in no time. To know more about dental implants Wilmington DE, visit our site


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Sam Khoury
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