The document discusses various techniques for socket management and ridge preservation after tooth extraction, including closed socket preservation, open socket preservation and ridge augmentation, and delayed implant placement. It provides details on atraumatic extraction, use of biomaterials like collagen membranes and bone grafts, flap designs, and the benefits of preserving as much of the alveolar ridge as possible to prevent resorption and allow for better implant placement. The overall goal is to maintain ridge dimensions and maximize regenerative potential at each stage of treatment.
Socket preservation or alveolar ridge preservation (ARP) is a procedure to reduce bone loss after tooth extraction to preserve the dental alveolus (tooth socket) in the alveolar bone
For more information, you can book an appointment at
Dr Sachdeva's Dental Aesthetic And Implant Institute,
I 101, Ashok Vihar Phase 1, Delhi- 110052
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• Phone : +919818894041,01142464041
• Our Websites:
• www.sachdevadentalcare.com
• www.dentalclinicindelhi.com
• www.dentalimplantindia.co.in
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• www.facialaestheticsdelhi.com
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Vertical ridge augmentation is sometimes required for dental implant placement. The presentation looks at various conventional and newer techniques for ridge augmentation in the oral cavity.
The content covers majority of the aspect of immediate implant placement - why immediate implants?, case selection, decision making, classifications, surgical technique, healing following immediate implant placement, immediate implants in infected sockets/periapical infections, literature reviews and recommendations for clinical practice.
Soft tissue considerations for implant placementGanesh Nair
pre and post soft tissue considerations prior and post implant placement including various surgical technique for simple and advanced soft tissue augmentation
Socket preservation or alveolar ridge preservation (ARP) is a procedure to reduce bone loss after tooth extraction to preserve the dental alveolus (tooth socket) in the alveolar bone
For more information, you can book an appointment at
Dr Sachdeva's Dental Aesthetic And Implant Institute,
I 101, Ashok Vihar Phase 1, Delhi- 110052
Contact us at
• Phone : +919818894041,01142464041
• Our Websites:
• www.sachdevadentalcare.com
• www.dentalclinicindelhi.com
• www.dentalimplantindia.co.in
• www.dentalcoursesdelhi.com
• www.facialaestheticsdelhi.com
• Google+ link: https://goo.gl/vqAmvr
• Facebook link: https://goo.gl/tui98A
• Youtube link: https://goo.gl/mk7jfm
• Linkedin link: https://goo.gl/PrPgpB
• Slideshare link : http://goo.gl/0HY6ep
• Twitter Page : https://goo.gl/tohkcI
• Instagram page : https://goo.gl/OOGVig
Vertical ridge augmentation is sometimes required for dental implant placement. The presentation looks at various conventional and newer techniques for ridge augmentation in the oral cavity.
The content covers majority of the aspect of immediate implant placement - why immediate implants?, case selection, decision making, classifications, surgical technique, healing following immediate implant placement, immediate implants in infected sockets/periapical infections, literature reviews and recommendations for clinical practice.
Soft tissue considerations for implant placementGanesh Nair
pre and post soft tissue considerations prior and post implant placement including various surgical technique for simple and advanced soft tissue augmentation
socket shield technique is a modified method of implant placement where many short comings of implant placement can be solved...
it is nothing but retaining of buccal cortical plate during extraction and implant is placed immediatly
loading protocols in dental implants about indications and contraindications of conventional , immediate,progressive and delayed loading of dental implants
This presentation reviews common functional and esthetic problems associated with extraction of teeth and current methods and surgical techniques to minimize loss of bone and soft tissue
The socket shield technique at molar sitesNaveed AnJum
The socket-shield technique for avoiding postextraction tissue alteration was first described in 2010. The technique was developed for hopeless teeth in anterior esthetic sites but has not yet been described for molar sites. Managing postextractive ridge changes in the posterior region by prevention or regeneration remains a challenge. The socket shield aims to offset these ridge changes wherever possible, preserving the patient’s residual tissues at immediate implants.
The biological fixation determines the longevity of dental implant treatment. It ensures the long term survival of dental implant. Better the osseointegration,higher will be the survival rate
socket shield technique is a modified method of implant placement where many short comings of implant placement can be solved...
it is nothing but retaining of buccal cortical plate during extraction and implant is placed immediatly
loading protocols in dental implants about indications and contraindications of conventional , immediate,progressive and delayed loading of dental implants
This presentation reviews common functional and esthetic problems associated with extraction of teeth and current methods and surgical techniques to minimize loss of bone and soft tissue
The socket shield technique at molar sitesNaveed AnJum
The socket-shield technique for avoiding postextraction tissue alteration was first described in 2010. The technique was developed for hopeless teeth in anterior esthetic sites but has not yet been described for molar sites. Managing postextractive ridge changes in the posterior region by prevention or regeneration remains a challenge. The socket shield aims to offset these ridge changes wherever possible, preserving the patient’s residual tissues at immediate implants.
The biological fixation determines the longevity of dental implant treatment. It ensures the long term survival of dental implant. Better the osseointegration,higher will be the survival rate
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Pre prosthetic surgery /certified fixed orthodontic courses by Indian dental ...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
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Preprosthetic surgery /certified fixed orthodontic courses by Indian dental a...Indian dental academy
Welcome to Indian Dental Academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients
State of the art comprehensive training-Faculty of world wide repute &Very affordable
2. Background Atraumatic Extraction technique Hands on 1: Atraumatic extraction technique Biomaterials “ Closed” Socket preservation Hands on 2: Socket preservation “ Open” Socket preservation and Ridge augmentation Hands on 3: Ridge augmentation Implant treatment options Summary and conclusions Today’s Plan
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5. Socket preservation Ridge preservation Ridge augmentation Guided bone regeneration Site preparation Immediate implant placement Delayed implant placement Root submergence
6. Background Socket preservation after tooth extraction can maintain the alveolar ridge dimensions The whole idea of this is to perform a series of straightforward procedures at the time of extraction that will result in a better site for dental implants, pontics or dentures .....especially for implant therapy where this can allow for aesthetic implant therapy without the need for extensive grafting later on
7. Anatomy Buccal bone - bundle bone poor blood supply thin absent Gingival biotype - thick thin scalloped normal
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9. Bone Resorption Extraction of teeth results in resorption of the alveolar process in both a vertical and horizontal direction Different rates of resorption around the mouth More loss of height and width buccally Complicates implant therapy for patients Aesthetic result may be compromised
12. Does placement of an immediate implant prevent this bone loss? 4 weeks 12 weeks
13. Treatment Strategies Ultimate goal is to preserve as much of the alveolar ridge as possible and prevent resorption of the buccal plate in particular Biomaterials can help prevent this resorption 1. At extraction time - graft materials - graft materials + implant - implant - nothing 2. Wait 4 weeks or 12 weeks - graft materials + implant
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15. “ Important to identify the probable and possible short, medium and long term treatment plan prior to treatment planning the extraction socket effectively”
16. Treatment Strategies XLA - 4-6 weeks - Implant placement XLA - 12 weeks - Implant placement XLA + Bone graft - 6-9 months - Implant placement Bone grafting materials need 6-9 months to allow for enough graft replacement and new bone formation - Depends on size of defect and presence of bony walls providing blood supply Collagen materials do not delay implant placement
21. 1. Pericision Size 15, 15c or 12 blade Separating supracrestal periodontal attachment apparatus Incision can extend into PDL
22. 2. Elevation Periotomes, other... Used mainly mesially and distally avoiding damage or fracture to buccal plate
23. 3. Forceps Delivery Root separation if required Appropriate extraction forceps Modify delivery technique Delivery of all roots......
24. 4. Socket Degranulation !! Often overlooked Remove all soft tissue remnants Bone files, spoon excavators, other Care of maxillary sinus and ID Canal
36. Type 1 Bovine Collagen Cross linked Zero memory Hydrate 4-6 months resorption Similar to BioGide - Natural collagen - Resorbs quicker
37. Longer resorption times 6-8 months Elastic memory + rigidity Largely removes the need to use non-resorbable membranes - Gortex, EPTFE
38. Bone Grafts Autogenous - Your own bone Allograft - Other human bone Xenograft - Animal bone Alloplast - Synthetic bone substitute Donor site availability Resorption rates Moral issues
39. Bovine bone Porous mineralised bone matrix No organic component Very similar to BioOss Particle size 0.2-0.5 microns 1.0-2.0 microns Generally use the smaller size except for sinus grafting
65. Implant Timing Options Type 1: Immediate implant placement Type 2: Early delayed implant placement Type 3: Late delayed implant placement Type 4: Healed ridge
72. Orthodontic Extrusion Consider extrusion of teeth with vertical bone defects Even teeth that are due for extraction Predictable method of vertical augmentation Aesthetic demand Sectional fixed appliance 3-6 months active treatment followed by 3 months retention
So the whole idea behind this is to prevent situations like this arising, we see these types of resorptive defects commonly and they can be avoided by utilising a few different procedures at the time of extraction to prevent the need for extensive grafting in the future, make doing aesthetic implant dentistry more achievable But also not just the procedures that are available to us now with the increasing advances in biomaterials, but also treatment strategies, and knowing at the time of extraction where this site is headed, be it for an immediate implant, for an implant in the near future, as a pontic site or also for a denture
bundle bone supported by the PDL less mineralised buccal wall is less than 0.5 in 50% and still less than 1mm in 80 %
1 Week - initial connective tissue matrix, blood clot, 2 Week - large amounts of woven bone in lateral and apical areas of socket 4 Week - dominated by newly formed woven bone bundle bone of buccal crest has resorbed, with some replacement by woven bone position of buccal crest compared to palatal wall
8 Week - socket entrance sealed by hard tissue ridge 12 Weeks -