Immediate Implantation in the Anterior and Posterior Zone

Immediate anteriors: when, how, why?
Single tooth replacement and risk assessment
Surgical and prosthetic considerations in immediate implantation
Protocols for restorative space evaluation
Evaluation of treatment expectations
Evaluation of the gingival biotype
Edentulous space characteristics
Future restoration characteristics
Aesthetic zone characteristics.

Nuances and their management in implant placement in the aesthetic zone
Angulated screw channel (ASC)
Maxillary anterior implant considerations
Atraumatic extraction protocols
Evaluation of implant design for anterior immediate implantation
Challenges with immediate implants and achieving primary stability
Biology of bone and osseointegration
Loading criteria for immediate implantation.

Surgical steps of implantation in the aesthetic zone: full-thickness flap and vertical release
3D implant position
Mesiodistal and orofacial spacing, and performing enameloplasty
Coronoapical considerations
Submerged healing
One-stage or two-stage surgery
Cover screw or healing cap application
Timing of soft tissue management
Techniques at uncovering: punch technique, crestal incision, roll technique
The importance of the emergence profile and soft tissue contouring
S-shaped emergence profile
Temporary crown design
Application of a custom healing cap.

The peri-implant seal
The emergence and cervical profile
Vertical and lateral dimensions of the peri-implant seal
Peri-implantitis complications
Application of custom healing attachments
Digital and analog workflows for managing the emergence profile
Application of the Cervico Guide system: chairside solution for creating custom healing abutments
Step-by-step protocols for creating healing abutments
Analysis of clinical cases: creating a custom healing abutment for an upper canine.

Indications and case selection
Anatomical considerations of the mandible.
 

Lower incisors:
 

Socket morphology and bone availability
Implant positioning and angulation
Risk factors and esthetic considerations.
 

Lower canines:

Biomechanical importance and load distribution
Surgical approach and primary stability
Soft tissue considerations.

Lower premolars:

Bone density and anatomical landmarks
Implant size selection and positioning
Prosthetic planning considerations.

Lower molars:

Multi-root socket management
Septal bone utilization and implant placement strategies
Achieving primary stability in wide sockets.

Surgical protocols and techniques:

Atraumatic extraction
3D implant positioning
Managing gaps and grafting when needed.

Clinical case analysis:

Step-by-step review of lower jaw cases
Decision-making and complication management.

Maxillary central incisors:
 

Socket anatomy and bone availability
Implant positioning and angulation
Aesthetic risk factors and midline considerations.
 

Maxillary lateral incisors:
 

Anatomical variations and challenges
Implant size selection and positioning
Soft tissue and papilla preservation.

Atraumatic extraction
3D implant positioning
Managing the buccal plate and gap grafting
Clinical case analysis.

Step-by-step review of maxillary canine, premolar, and molar cases
Atraumatic extraction
3D implant positioning
Multi-rooted socket management
Septal bone utilization and implant placement strategies
Achieving primary stability in posterior maxilla.

Immediate molars: when, how, and why
Challenges with immediate molars
Success rate of immediate molars
Indications for placement of wide immediate implants
Socket classification
Evaluation of the extraction socket
CBCT application in the planning stage
Implant depth
Protocols for septum expansion
Drill-through-the-root technique
Analysis of immediate implant cases in the molar region.