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Immediate implant placement

Placing implants immediately after tooth extraction can save time, reduce the number of surgical procedures and thereby benefit patients.1 Nevertheless, immediate implant placement should only be carried out by experienced surgeons and after strict case selection. Careful planning is needed to avoid treatment failure and esthetic complications.2-4

In cases of immediate implant placement, filling the gap between the implant and the buccal bone plate enhances esthetic outcome5.


  1. Chen ST, et al.: Int J Oral Maxillofac Implants 2009; 24 Suppl: 272-78. (Consenus Statement)
  2. Koh RU, et al.: Implant Dent 2010, 19(2): 98-108. (Review)
  3. Evans CDJ, Chen ST: Clin Oral Implants Res 2008; 19: 73-80. (Retrospective review)
  4. Hämmerle C, et al.: Clin Oral Implants Res 2012; 23 Suppl 5: 80-82. (Osteology Consensus Report)
  5. Cardaropoli D, et al.: Int J Periodontics Restorative Dent 2014; 34(5): 631-37. (Clinical study)

Clinical Cases

Immediate implant placement with minor bony defect

Case by Prof. Joly, Prof. Carvalho da Silva & Prof. de Carvalho
São Paulo, Brazil

Clinical challenge

Geistlich Bio-Oss® Collagen is effective to offset the natural alveolar contraction that naturally occurs following tooth extraction, that could hamper aesthetics and lead to soft tissue instability.

Aim / Approach

Replace a hopeless central incisor with a horizontal fracture of the tooth root and buccal bone fenestration..


Ridge Preservation techniques are effective in minimizing volume loss and achieving a nice emergence profile 6 months after simultaneous grafting and immediate implant placement.

Comparison before extraction and 6 months after extraction

Immediate implant placement with fill the gap

Case by Dr. Franck Bonnet, Le Cannet, France

Clinical challenge

Immediate implant placement in order to reduce the treatment period for the patient.

Aim / Approach

Preservation of the vestibular bone volume and preservation of the gingival architecture.


The technique minimises the treatment time. The treatment maintains the archetype of the soft and hard tissues.

Comparison before and 1 year after extraction