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International Journal of Periodontics & Restorative Dentistry



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Int J Periodontics Restorative Dent 28 (2008), No. 5     25. Sep. 2008
Int J Periodontics Restorative Dent 28 (2008), No. 5  (25.09.2008)

Page 441-451, PubMed:18990995

Early Implant Placement Following Single-Tooth Extraction in the Esthetic Zone: Biologic Rationale and Surgical Procedures
Buser, Daniel / Chen, Stephen T. / Weber, Hans Peter / Belser, Urs C.
Early implant placement is one treatment option for implant therapy following single-tooth extraction in the anterior maxilla. The surgical technique presented here is characterized by tooth extraction without flap elevation, a 4- to 8-week soft tissue healing period, implant placement in a correct three-dimensional position, simultaneous contour augmentation on the facial aspect with guided bone regeneration using a bioabsorbable collagen membrane combined with autogenous bone chips and a low-substitution bone filler, and tension-free primary wound closure. The surgical step-by-step procedure is presented with a case report. In addition, the biologic rationale is discussed.