Flapless Postextraction Socket Implant Placement in the Esthetic Zone: Part 1. The Effect of Bone Grafting and/or Provisional Restoration on Facial-Palatal Ridge Dimensional Change—A Retrospective Cohort Study

Bone volume changes after immediate implant placement with or without flap elevation

“…If this approach is combined this with an immediate aesthetic restoration their expectations will be fulfilled (Atieh et al 2009). This technique was first described by Wöhrle (1998) and in the last years many authors have reported successful outcomes (Kan et al 2003;De Rouck et al 2009;Roe et al 2012;Tarnow et al 2014;Morimoto et al 2014) .…”

“…The authors observed an additional midfacial recession of 0.75mm in the conventionally restored treatment group at one year ). Similarly, Tarnow et al (2014) retrospectively analyzed on study casts immediate implant cases where a provisional prosthesis was placed simultaneously with cases where a healing abutment was inserted. The ridge contour almost kept unchanged in those cases where implants were immediately restored.…”

Presurgical Cone Beam Computed Tomography Bone Quality Evaluation for Predictable Immediate Implant Placement and Restoration in Esthetic Zone

“…The criteria and techniques for proper immediate implant placement have previously been established and reported with successful long-term outcomes [31, 32]. Some aspects for treatment's success are mandatory: at least 2 mm of buccal plate to avoid soft and hard tissue recession [33], positioning the implant with sufficient primary stability in the extraction socket [32], without flap elevation, thick gingival biotype if possible [34, 35], ideally 3D positioning of the implant, grafting the gap between the buccal wall and the implant [36], and using a provisional crown immediately after implant insertion for maintaining soft tissue contours [31].…”

Flapless Dental Implant: Contemporary Trends in Literature Coverage

“…In recent implant dentistry, computer-assisted surgery (CAS) is becoming more popular and achieves prosthetically driven implant placement [14] CAS was first introduced by Van Steenberghe et al [ 15,16] The key to computer planning is transferring the planning to the patient using a surgical template that allows placement of the implant directly through the tissue without the reflection of the flap [17][18][19] Furthermore, immediate restoration is possible because of precise fit, excellent primary stability achieved, and the ability to make a pre-implant model [20] This procedure allows restoratively driven implant placement and restoration to provide a more natural environment for soft tissue formation [21,22]. Nevertheless this approach will be promising future for esthetic zone areas without any intervention for alveolar bone exposure or soft tissue reflection.…”