Early Implant Placement:
The Patient as a Surgical Guide

This is the continuation of a previous article. In case you missed it, here is a link to see it:
In that post, we demonstrated the case of doing an osteotomy at the time of extraction to facilitate early implant placement.
This is the image of the extraction socket.
This was the image of the osteotomy prepared in the interradicular septum for a 4.2 X 11 mm implant. The image shows a buccal fenestration at the apex.
4 weeks later, the patient returns for membrane removal and implant placement.
At 4 weeks the socket is fully mineralized after grafting with Socket Graft.
Membrane removal.
The only drill used was the full diameter drill for the 4.2 X 11 mm implant. The extraction osteotomy easily guided the drill to place.
Implant in place with good stability.
Implant placement at 4 weeks.
The drill is taken 3 mm past the gingival margin to finish with the healing abutment level with the healing gingiva.

The surgical assistant’s comment: “This is quicker than a two surface composite.”


American Society for Bone and Mineral Research (ASBMR)

Tissue Engineering and Regenerative Medicine International Society (TERMIS)