Duration: 9 minutes, 44 seconds

Author: Dr. Egon Euwe

Immediate Anterior Extraction Site Implant with Socket Bone Graft and Soft Tissue Butterfly Graft

Immediate Anterior Extraction Site Implant treated with a socket bone graft and a soft tissue Butterfly graft

Introduction

Immediate anterior extraction site implants provide an effective solution for patients with dental issues. In this article, we will discuss a case where a patient with a central incisor exhibiting marginal inflammation and a suspected endodontic problem underwent immediate post-extraction implant placement. The surgeon employed socket bone graft and soft tissue butterfly graft techniques to achieve successful results.

The Patient’s Condition

The patient presented with a central incisor displaying marginal inflammation and a post indicating an underlying endodontic problem. After careful examination, the surgeon determined that the patient’s case was suitable for immediate implant placement due to a substantial amount of available buckle bone.

Extraction and Implant Placement

The surgeon commenced the procedure by probing and extracting the root, which was found to be hanging from a cyst. Once the extraction was complete, the surgeon proceeded with the implant placement. Notably, the surgeon opted not to irrigate the area, as they believed that allowing blood to touch the implant surface would facilitate faster Osteo integration.

Socket Bone Graft

Prior to implant placement, a socket bone graft was performed. This involved preparing the socket by thoroughly cleaning and debriding it. The surgeon then carefully placed the bone graft material into the socket, ensuring adequate coverage of all surfaces. The bone graft served to augment the existing buckle bone and provide a solid foundation for the implant.

Soft Tissue Butterfly Graft

To enhance the aesthetic outcome and ensure optimal soft tissue support, the surgeon performed a soft tissue butterfly graft. This involved preparing a buckle pouch and harvesting connective tissue grafts. The harvested tissue was then carefully placed and sutured into the buckle pouch, creating a natural contour and promoting long-term stability.

Benefits and Considerations

Immediate anterior extraction site implant placement accompanied by socket bone graft and soft tissue butterfly graft offers several advantages. It allows for faster rehabilitation, saves time and resources, and reduces the number of required surgical procedures. However, it is crucial to carefully evaluate each patient’s specific case to ensure suitability and minimize potential complications.

Conclusion

The case discussed in this article demonstrates the successful treatment of a patient with a central incisor exhibiting marginal inflammation and a suspected endodontic problem. Immediate anterior extraction site implant placement, combined with socket bone graft and soft tissue butterfly graft techniques, provided a reliable and aesthetically pleasing outcome.

FAQs (Frequently Asked Questions)

1. Is immediate implant placement suitable for all patients with central incisor issues?

Immediate implant placement is not suitable for all patients. Each case must be evaluated individually to assess the suitability of this approach.

2. What is the purpose of a socket bone graft?

A socket bone graft aims to augment the existing bone and provide a sturdy foundation for the implant.

3. How does a soft tissue butterfly graft improve aesthetics?

A soft tissue butterfly graft helps create a natural contour, ensuring optimal soft tissue support and contributing to a pleasing aesthetic outcome.

4. Can immediate post-extraction implant placement save time and resources?

Yes, immediate post-extraction implant placement can save time and resources by minimizing the number of required surgical procedures.

5. What should be considered before opting for immediate anterior extraction site implant placement?

Before opting for immediate anterior extraction site implant placement, thorough evaluation of the patient’s specific case is necessary to minimize potential complications and ensure successful outcomes.

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