Early implant placement after Ridge Preservation
Clinical Challenge
Post-extraction bone resorption can complicate timely implant placement, particularly in the esthetic zone. In this case, the goal was to preserve ridge volume and optimize soft tissue healing to allow for early implant placement without the need for additional augmentation.
Clinical Situation
Tooth 14 was scheduled for extraction due to clinical reasons. A careful evaluation revealed intact socket walls and no buccal bone defect, an ideal scenario for Ridge Preservation using a minimally invasive approach.
Treatment Protocol
- Extraction & Socket Management
- Atraumatic extraction of tooth 14
- De-epithelialised wound margins to promote soft tissue integration
- Socket filled with Geistlich Bio-Oss® Collagen
- Soft-Tissue Sealing
- Socket sealed with Geistlich Mucograft® Seal
- Sutured with single interrupted sutures for optimal tissue adaptation
- Wound Healing & Outcome
- At 10 weeks: Soft tissues showed excellent quality and maturity
- Clinical evaluation confirmed adequate ridge volume for implant placement
- Implant Placement & Soft-Tissue Management
- Minimally invasive flap raised for implant placement
- A roll flap technique was used to enhance buccal soft tissue thickness
- Flap closed with precision to support optimal healing
- Follow-Up
- At 4 months post-implantation: Stable soft tissue contours and healthy gingiva
- At 7 months post-extraction: Final restoration in place with excellent esthetic outcome, both buccally and occlusally
Clinical Approach
The strategy focused on reducing total treatment time while ensuring a biologically favorable environment for soft and hard tissue healing. The use of Geistlich Bio-Oss® Collagen and Geistlich Mucograft® Seal supported volume preservation and high-quality tissue maturation.
Conclusion
Ridge Preservation using Geistlich biomaterials allowed for predictable early implant placement just 10 weeks post-extraction. The maintained ridge volume and improved buccal soft tissue contours supported excellent clinical and esthetic results, demonstrating a time-efficient and effective treatment pathway.
