First Molar Extraction WITH immediate implant placement

requiring BONE grafting and PTFE membrane with Prp

Dental implants can be placed in fresh sockets immediately after tooth extraction. These are called "immediate" implants. "Immediate-delayed'" implants are those implants inserted after one or more weeks, up to a month or more, to allow for soft tissue healing. "Delayed" implants are those placed thereafter in partially or completely healed bone. The advantage of immediate placed implants is the shortened treatment time.  Bone height will be maintained thus improving implant bone support and aesthetic results. The extraction socket can have an implant placed immediately after a CHRONICALLY infected tooth is removed, but needs to have the replacing implant anchored into bone and the site grafted at the same time with a PTFE membrane that excludes soft tissue, allowing the bone grafted socket site to heal normally with the newly placed implant.

Chronic Abscess 

Immediate Extraction Site                                 Start of Implant Placement 

Implant Site Development and Evaluation with Rapid CCD Radiograph at Time of Implant Placement

Centered and Ideally Placed Immediate Implant with Cover Screw

PTFE Membrane Covering Graft 

PTFE Membrane and Sutures Covering Graft 

Membrane Removed at Six Weeks 

3 Months Post-Op with Regeneration of Hard & Soft Tissue

Final Impression with Combined "Open" & "Closed" Tray Technique

Healing Abutment

Master Cast

Custom Abutment on Master Cast and Inserted

Radiograph of Custom Abutment and Bone Regeneration

Provisional Crown for Provisional Loading of Implant

Final Crown on Master Cast and Insertion with Composite in Screw Access Hole

Final Crown Six Month Post-Op with Composite in Screw Access Hole

Six Year Follow-Up with Soft Tissue Esthetics

SixYear Follow-Up

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