The recently developed Straumann BLX implant system combines innovative design with proven surface technology giving the clinician high insertion torque during placement in a fresh extraction socket.
The concept of immediate implant placement after extraction reduces the number of surgical interventions and makes treatment times shorter.
However, one shortcoming is that the implant diameter is often smaller than the diameter of the root of the extracted tooth, which may lead to a gap between the implant and the extraction socket. To solve this issue, there are different protocols for grafting the space, including a simple technique presented below.
In conjunction with the insertion of an immediate implant in a mandibular molar site, a technique for simultaneous bone grafting is shown in this visual essay.
Note: The patient's second molar's marginal ridge and mesial aspect was previously nicked by bur, which required to be addressed restoratively by either adding a composite resin or doing a class 2 inlay. Since the patient had an ill-fitting ceramic inlay, it was suggested to redo it and reconstruct a tighter contact point with the implant crown. The patient lives out of town and because of the COVID-19 crisis, she has not been able to have this done.
Ricardo Mitrani, D.D.S., M.S.D., is a member of Spear Resident Faculty.