This case represents a wonderful example of the "delayed immediate implant placement protocol".
Routinely dental implants are placed at least 3 months after a tooth is extracted. This allows the bone to heal fully to its mature form. Often times the tooth was extracted many years prior. IF there is sufficient bone volume to fit the implant then this is the most simple way to proceed.As bone remodels, after extraction, it shrinks back into the jaw. This can result in insufficient bone volume to place the implant into. It may also increase the risk of placing the implant into vital structures such as other teeth, nerves or sinuses.
In these cases we can employ the "delayed immediate protocol". We extract the teeth and allow all pathology, namely infection, to resolve. 3-6 weeks later we place an implant that matched the original dimensions of the root into the extraction site. In this way we are riding the wave of the regional acceleration phenomenon. The socket is remodeling , so the area is fully primed for healing.Often we will need to use a bone augmenting material in these cases. We favour Ethoss TCP at the practice. It contains no animal or human bone derivatives, and it recruits a patient's own autogenous bone to the site very effectively. The final result is well placed implants, mimicking the roots they replace which do not damage surrounding teeth, sinues or major nerves.
