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Chinese Journal of Stomatological Research(Electronic Edition) ›› 2023, Vol. 17 ›› Issue (06): 407-412. doi: 10.3877/cma.j.issn.1674-1366.2023.06.006

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Immediate implant placement strategy in aesthetic zone based on the pattern of atrophic changes in extraction sockets

Yuanxiang Liu, Zhuofan Chen()   

  1. Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Stomatology, Guangdong Provincial Clinical Research Center of Oral Diseases, Guangzhou 510055, China
  • Received:2023-09-15 Online:2023-12-01 Published:2023-12-11
  • Contact: Zhuofan Chen
  • Supported by:
    National Natural Science Foundation of China(81970975); Science and Technology Program of Guangzhou(SL2022A04J01709)

Abstract:

After tooth extraction, significantly physiological atrophic changes would occur to the socket. In the aesthetic zone, the collapse of the labial/buccal bone contour could seriously affect the aesthetic outcome of implant-supported restorations. In order to preserve the labial bone, immediate implant placement has strict indications, which can hardly be met by the majority of patients. Herein, this article summarized the rule of atrophic changes in the labial/buccal bone of the extraction socket through literature review. Further, based on this biological rule and our research findings, the expanded indications, clinical surgical procedures, and bone substitutes used for immediate implant placement were reviewed.

Key words: Reconstruction of extraction socket, Immediate implant placement, Implant placement in aesthetic zone, Bone substitute

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