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S&M Publications Clinical cases Implantology PLATFORM SWITCHING IMMEDIATE LOADING POST-EXTRACTION WITH SIMPLE TECHNIQUE AND PLATFORM SWITCHING

IMMEDIATE LOADING POST-EXTRACTION WITH SIMPLE TECHNIQUE AND PLATFORM SWITCHING

Csonka M.

Csonka M.

Specialisation in oral implantology at New York University (USA). Specialisation in advanced surgical implant techniques at U-Conn University (USA). Active member at the North American Association of Oral and Maxillo-Facial Implants. Tutor at New York University in the International Postgraduate Program. European coordinator of the committee for clinical studies about bone growth factors in oral implantology. Inventor of the so called “SIMPLE” technique in implant-prosthodontics.

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NumeriUno, 12: 8-9, 2012
The extraction of teeth in aesthetically important areas requires the implant dentist to make a serious evaluation of the existing soft tissues. If the soft tissues (papillae, height of the gingival edge) that surround the tooth to be extracted are adequate, the simplest and most predictable method for maintaining them is certainly a post-extraction implant immediately loaded with a temporary prosthesis that adequately supports the existing gingival tissues on three dimensions. If, on the other hand, the soft tissues are insufficient, it is recommended to adopt a two-stage procedure to reconstruct and increase the bone and gingival tissues with Langer or Ice Cream techniques. In this article we deal with the first case (adequate existing soft tissues).
In choosing the most suitable materials to make a post-extraction implant with immediate loading, it appears very important to use strongly self-threading implants with large spires, able to obtain elevated primary stability even inside morphologically complex sockets. On the subject of temporary prosthetic posts, it appears fundamental to choose posts that have the first apical 2 mm (=biological width) of biocompatible material (titanium) so as to facilitate the attachment of the gingival tissues to the post, thus preventing an anti-aesthetic apical migration of the tissues. Lastly, an implant with platform switching guarantees less reabsorption of the peri-implant bone, thus allowing the aesthetic result obtained to be maintained over time.

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