Page 42 - CEREC Q3 | 2014

40 | CERECDOCTORS.COM | QUARTER 3 | 2014
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implant placement in post-
extraction sites in the esthetic zone has
become a routine and frequent indica-
tion in modern dental implant therapy
— especially for single-tooth replace-
ments. However, patients presenting
with hopeless teeth in the esthetic zone
still present a unique challenge for
the clinician. This challenge is related
to anatomic limitations, the well-
documented and inevitable resorptive
process that follows the extraction of
A Unique Challenge
for the Clinician
The Concept of Early Implant Placement
in Post-extraction Implant Therapy
in the Esthetic Zone
CASE STUDY ||| BY FARHAD E. BOLTCHI , D.M.D. , M.S.
immediate implant placement at the
time of extraction (with or without
immediate provisionalization); early
implant placement after six to eight
weeks of soft-tissue healing; and socket
bone grafting performed at the time of
extraction coupled with late implant
placement after complete bone healing
of four to eight months.
these teeth, and the significant potential
for soft-tissue complications, especially
in conjunction with higher risk proce-
dures such as immediate implant place-
ment and immediate loading protocols.
The timing of implant placement in
relation to removal of the tooth to be
replaced can have an impact on the final
esthetic outcome and the risk of compli-
cations, and clinicians can choose from
several different treatment options
in this regard. These options include:
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