Immediate & Conservative

Immediate implant placement after extractions has numerous advantages.

1. Implant placed immediately after extraction, so no extra surgery for the patient.
2. Bone and soft tissue preservation.
3. Option to do conservative flapless surgery.
4. Faster healing.

Biggest disadvantage:
Outcome highly dependent on skill of the surgeon. It is very difficult to drill into an extraction socket and place the implant in an ideal position.

This technique is also not suitable for teeth which show signs of chronic infection (cysts etc).

The middle aged female patient had a fractured post crown, upper left central incisor. A Flexite immediate denture was prepared for her on the day of the extraction.

Flexite denture on the cast.

Another view of the Flexite denture.

The crown was separated from the root.

We then extracted the root. It was difficult as we had to make sure that no bone was lost or damaged during the extraction.

The socket had excellent bone walls on all sides.
No chronic infection.
Conditions for immediate implant placement were fulfilled.

Dr Chan placing an Osstem GSII 4.5x10mm implant.

Good primary stability meant that we could place a healing abutment on top of the implant.

It's a bit closer to the lateral than the central, but the xray shows that the position was acceptable.

The temporary Flexite denture was tried in the mouth.
Note that no scalpels were used for this surgery.
We expect minimal pain, swelling and faster healing.

The implant should be ready for loading in 2-3 months.
Both bone and soft tissue should be well preserved for an aesthetic outcome.