Sealing Socket Abutment: a novel digitalized strategy for immediate implant placement in molar sites
A clinical cases by our Community member Dr Gary Finelle.
Immediate implant placement after extraction of a molar is an attractive treatment alternative for the significant clinical benefits it provides to the patient, as well as for the dentist:
- Reduction of number of surgeries
- Reduction of overall length
- Reduction of morbidity
Many studies have reported similar implant survival rates when implantation is performed immediately after extraction (98.8%) or on healed site (99%) (Atieh 2010). Although the literature shows high survival rates, immediate implantation in molar sites must be carried out within favourable clinical conditions (attached gingival, buccal plate…) in combination with well controled technical procedures (ideal three-dimensional position, primary stability, Primary closure). One of the major challenges one clinician can face while performing immediate placement on molar site, is the ability of obtaining a hermetic primary closure of the soft tissue. This technical skill is nearly always combined with invasive surgical procedures and significant post op recovery (displacement of the muco-gingival line, periosteal releasing incision, flaps, sutures, membrane stabilization…).
To reduce invasiveness as well as technique sensitivity of the procedure the protocol illustrated in this article discusses the use of an anatomical Sealing Socket Abutment (SSA) (Finelle 2017, Finelle 2019) designed and manufactured using CAD-CAM technology to preserve peri-implant hard and soft tissue structure. The aims of the SSA are:
– To mechanically seal the surgical site following the outline of the extraction socket with its anatomical design
– To stabilize the blood clot and to favor bone regeneration space for the substitute material (Retzepi 2010)
– To support soft tissues to prevent them from collapsing during healing time.
– To develop an ideal prosthetic emergence profile, modeled on the anatomy of the existing tooth (Chu 2012).
Fig.1
A 45 years old patient presented at our clinic for consultation appointment. She complained about intense pain upon mastication in the area of 26. Clinical and radiographic examinations showed a clear vertical root fracture splitting mesial and distal fragment all the way to the inter-radicular area. The extraction of the tooth was unequivocally indicated as the only treatment alternative.
Fig.2
Immediate implant placement after extraction combined with customized Sealing Socket Abutment (SSA) will be implemented.
Minimally invasive extraction is a crucial step for succeeding in this protocol. In order to preserve surrounding structures (remaining inter-radicular bone septum, external alveolar table, soft tissue), so specific care and attention was paid while extracting the tooth during instrumentation and tissue manipulation. Once the extraction was successfully performed, accurate debridement and cleaning of the alveolar socket associated with a generous saline solution irrigation was done.
I was very pleased to uncover this great site. I need to to thank you for ones time for this fantastic read!! I definitely appreciated every bit of it and I have you bookmarked to look at new information on your blog.
מין פלפל חריף. נערות ליווי בש.
אסי רחמים בראיון פרידה מהפועל בש 1 דק’ קריאה.
כאשר אתה מגיע לירושלים, לביקור עסקים או
למטרה אחרת, אין סיבה למנוע מעצמך
את העונג של פגישה עם בחורה סקסית מהממת שיודעת לפנק
כמו חברה אמיתית. אליסה רוסיה בת צעירה נערת
ליווי VIP מפנקת בעיסוי שמנים מטריף חושים, נערה איכותית ממוצא רוסי כמו שאתה
אוהב בחורה שיודעת להעניק לגבר בילוי הולם.
רוסיה מהממת וצעירה, יודעת איך
לפנק בעיסוי חושני, ליווי VIP איכות ושירות איכותי, זמינות
24/7 התקשרו עכשיו אריקה ממתינה לכם לליווי שלעולם לא
הכרת. הכירו את סקרלט נערה מעסה מקצועית
ונערת החלומות של כל גבר, הגיעה מקייב רזה וצעירה נערת ליווי VIP שירות איכותי בלבד!
בחורה מטריפה במיוחד רוצה להגיעה לבית שלך כדי
לספק לך את אחת החוויות הכי מטריפות… האפשרויות שעומדות לפנייך
הן להזמין את העיסוי הביתה, לבית מלון או לדירות
דיסקרטיות. רוב הזמן גברים חושבים
האם להזמין נערות ליווי בגלל הדיסקרטיות וכן, אנכנו מספקים שירותי ליווי
אנונימיים בלבד.
My web page – דירה דיסקרטית בחיפה
The newest Escort headlights may have a powerful gentle supply that may produce a
powerful and regular beam. What was needed was a new energy plant to keep the FW 190 aggressive
with the newest Allied fighters. So while all the above fighters played an important half in the battle, it was the P-51 that turned out
to be decisive. When the struggle came in 1939, thee RAF insisted
inn holding tthe bulk of their fashionable monoplane fighters in Britain.Later in 1942 the A-four mannequin got
herre along. The subsequent massive manufacturing model
was the Mk. It became extremely popular and loved financial success in the United States,
prompting Ford to continue manufacturing for several more generations.
The Ford Escort GT from 1989 boasted a CVH-sequence 1.9-liter engine,
which was gasoline-powered. Welcome to Thee Malaysia Escort
Girls Escort Agency,We are the premiuer place to e book the mot effective high class
escorts in Kuala Lumpur. XIV an improved service ceiling and enhanced high altitude performance.
Feel free too visit mmy web blog … papillonvip.com
viagra from india
ototoxicity furosemide
zoloft generic brand
lisinopril rash pictures
glucophage colombia
long term effects of gabapentin
zithromax and drinking alcohol
tizanidine and gabapentin
escitalopram generic for lexapro
ciprofloxacin pregnancy
cephalexin for uti in dogs
bactrim double strength dose
bactrim vs.cipro
escitalopram oxalate generic
citalopram hbr 20 mg street value
ddavp and kidneys
cozaar food interactions
depakote alternatives
citalopram while pregnant
ddavp iv dosage
cozaar and cough
depakote indications
augmentin for tooth abscess
diclofenac misoprost
ezetimibe molecular weight
diltiazem ir
flomax body aches
flexeril high
effexor and adhd
contrave tab 8-90mg
allopurinol gout side effects
can a dog have aspirin
amitriptyline for migraine
aripiprazole cost walgreens
can you take acetaminophen with celebrex
bupropion fatigue
soma vs baclofen
uses of celecoxib
buspirone sleepy
when is the best time to take ashwagandha
actos tolerantes
acarbose alternatives
abilify changed my life
dosage for semaglutide
does remeron help anxiety
protonix contraindications
repaglinide insufficienza renale
can you take tramadol with robaxin
dolorum inventore nam quibusdam dicta qui repellat rerum architecto odio dolorem. fugiat est non earum tenetur aut optio voluptatem quia quas.
synthroid hallucinations
sitagliptin nhs
300 mg spironolactone reddit
tamsulosin innovator
venlafaxine 37.5mg
zyprexa antidepressant
zofran breastfeeding safety
how does zetia work
peak of wellbutrin
zyprexa im administration
cialis tadalafil 20mg
canadian pharmacy levitra
where can i buy levitra
tadalafil online sublingual
price of cialis at walgreens
online levitra order
levitra 20mg how to use
goodrx sildenafil
100mg sildenafil
1st rx pharmacy statesville nc