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Immediate implant or socket preservation ? Pls opine and vote

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  • 13/02/2025 at 5:28 pm #26386
    Dr. Veerendra Darakh
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    SIDDHESHWAR HAJARE 3-7

    Dear all eminent implantologists,

    Male patient .Age: 69 years . Medical history: Well controlled hypertension and diabetes . Tooth: 3-7 Lower left second molar

    I want to extract it & place an implant. Now please let me know:

    1. Whether immediate implant is possible or not. If yes ,How? What type of bone augmentation should be done and what membranes should be used ? Will a 6mm diameter or a 7mm diameter implant work in this case?

    2.Or else extract and do socket preservation and place implant after sometime.

    Hope to see a lot of responses and many thanks in advance for the same.

    Regards,

    Dr.  Veerendra Darakh

     

            

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    13/02/2025 at 10:23 pm #26388
    Sreekumar Panikar
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    Need a sagittal section of the inter radicular area for assessment of buccal bone height and thickness before the question for immediacy can be addressed.

            

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    Dr. Veerendra Darakh
    15/02/2025 at 11:56 am #26389
    Dr. Veerendra Darakh
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    Sreekumar Panikar wrote:

    Need a sagittal section of the inter radicular area for assessment of buccal bone height and thickness before the question for immediacy can be addressed.

            

    Thank you for the valuable response.

    I have not asked for CBCT since I have not decided to place an immediate implant or do socket preservation. It seems like I am veering more towards socket preservation with vertical bone augmentation.

    As far as immediate implantation is concerned I think I can go a little bit below the roots (and still stay away from IAN )  & anchor the implant. I may have to use a D6 or D7 diameter implant.

    But without vertical bone augmentation the height of the clinical crown will be more and this will make the prosthesis unstable.

    Either way (immediate implantation or socket preservation) I think this case would require vertical bone augmentation. After vertical bone augmentation this case may require FGG or CTG also.

    Any ideas as to how to go about it?  Hope to see many responses & many thanks in advance for the same.

    Regards,

    Veerendra Darakh

            

    For one to one consultation on dental practice growth and practice management please contact : todaysmedicalmarketing@gmail.com

    15/02/2025 at 3:09 pm #26390
    doctorsorabhjain@gmail.com
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    Sir the reason what i feel current tooth is involved in pathology, offcourse yes due to caries, but also pathological occlusion.

    Although u r right with increased crown height it may become unstable, but managing with a proper Occlusion is also of proper importance. This includes extraction of upper 8 coz it’s supra eruption can increase chances of overloading the prosthesis on excursions.

    So now coming to whether increase the height by vertical augmentation or not, if wish to do better for prosthesis and implant stability, then yes augment, if keeping only Occlusion into matter, then it can be managed.

            

    Dr. Sorabh Jain | Cranio-facio-Mandibular Prosthodontist | Special Interest in TMJ management| Special Interest in Dental Sleep Medicine | Neuromuscular Principles Based Dentistry | DIgital Occlusion | Complete Dentures

    +91-7303302651
    www.DrProstho.com

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    Dr. Veerendra Darakh
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