Timing of Implant Placement (6; IIP )

Question 1

IIP indications

Answer 1

Buser 2017
Indications for IMI: 5-10% cases
- Intact facial bone wall >1mm
- Thick phenotype (when low risk of recession)
- Sufficient volume for correct implant position (1mm apical to bone crest + gap of at least 2mm to fill bone defect/blood clot)

Tonetti 2019 (based 4 Syst.Rev.)
Effect of** IMI vs delayed** placement:
* + risk of early implant loss , inferior clinical rx and patient-related outcomes
* Avoided when: damaged sockets, wrong implant position to achieve stability
* Grafting recommended
* Clinical indications: shorter ttm time and cost-efficiency, low risk patients
BUT
* Acute local infection = No IMI
* Absence of stability = ARP/Delayed/late
* Damaged alveolus= early/bone graft
* Intact alveolus + thick phenotype + low smile = ideal for IMI

Buser 2017
Tonetti consensous 2019

Question 2

Timing & indications for implant placement

Question 3

Surgical aspects to consider in EARLY implant placement

Question 4

Aesthetic complications of IIP

Question 5

IIP (Buser’s 2017 surgical recommendations)

Question 6

Critical thickness buccal wall