Immediate molar implant placement and prosthetic restoration after extraction. Case report

Cody, G.M.

Implant Society 5(2): 2-5

1994


ISSN/ISBN: 1059-3489
PMID: 9571823
Document Number: 6945
This case demonstrates a new approach to immediate placement of implants in the molar region where the bone morphology allows it. An osteotomy in the bone in the furcation of a molar instead of either extraction socket provides a better angulation of the implant for final restoration than otherwise possible with divergent molar roots while avoiding impingement on the mandibular canal. Additionally there is immediate full stabilization of the implant along its entire length without extension past the area of the tooth apex with only the necessity of bone grafting the residual sockets. The restoration of this implant is coincidentally unusual also. Since the author had used both screw retained crowns and cemented crowns, and had realized the disadvantages of each, it was decided to fabricate a screw-cemented crown. It is a new concept that can be used with many different implant systems. The advantages of a screw-cemented crown in the implant system is that it makes the total restoration retrievable. It is an advantage over the cemented crown because the crown does not have to be destroyed to get to the implant level nor does temporary cement have to be used to make access to the implant possible.

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Immediate molar implant placement and prosthetic restoration after extraction. Case report