List of Contributors ix Foreword xvii Preface xviii Acknowledgments xix 1 Introduction, History and General Principles 1 Douglas Deporter, Domenico Baldi, and Mohammad Ketabi Background 1 The Timing of Implant Placement 1 Early Work with Immediate Implant Placement 6 Biological Benefits of "Immediacy" 7 Indications for Immediate Implant Placement in Anterior and Premolar Sites 8 Impact of Socket Configuration on Immediate Implant Placements 14 Accepted Ways of Minimizing Peri-Implant Crestal Bone Loss with Immediate Implant Placements 16 Conclusions 17 References 17 2 Radiographic and Anatomic Considerations 25 Venessa Mendes and Trevor Thang Introduction 25 Imaging Techniques 25 Cone Beam Computed Tomography 25 Radiographic Evaluation for Immediate Implant Placement 26 General Osseous Considerations 26 Alveolar Bone Thickness 26 Variations in Trabecular Bone Density 26 Nasopalatine Canal and Foramen 27 Middle Superior Alveolar Canals 29 Nasal and Maxillary Sinus Floors 30 Mental Foramen 30 Anterior Loop of the Inferior Alveolar Nerve 31 Mandibular Incisive Canal 31 Lingual Foramina 34 Tooth-Related Complications 34 Mandibular Canine Bifurcations 34 Conclusions 35 References 36 3.1 Immediate Implant Placement in the Maxillary Esthetic Zone 39 Henny J.A. Meijer, Vincent J.J. Donker, and Gerry M. Raghoebar Introduction 39 Preoperative Screening 40 Implant Surgery in General 40 Immediate Implant Treatment in Combination with Immediate Provisionalization 40 Assessment 40 Diagnosis and Planning Procedures 40 Surgical Procedures 40 Prosthetic Procedures 41 Follow-up 41 Case Presentation One 41 Case Presentation Two 41 Case Presentation Three 48 Case Presentation Four 51 Discussion 53 Conclusions 54 References 54 3.2 Immediate Maxillary Premolar Implant Placement 56 Mehdi Valizadeh, Antonio Barone, Rossana Izzetti, Chiara Cinquini, and Celine Soon Introduction 56 Sagittal Root Position and Bone Angulation 56 Maxillary Sinus Proximity 57 Case Selection 61 Intact Versus Non-Intact Socket 61 Suggested Surgical Protocols 61 Extraction 61 Attaining Bone Anchorage 61 Implant Selection 63 Soft Tissue Modification 65 Discussion 69 References 69 3.

3 Challenges in Placing Multiple Immediate Implants in Anterior Maxilla 72 Douglas Deporter, Mohammad Ketabi, Richard Martin, and Ehsan Birang Introduction 72 Case Selection 74 Further Sample Cases 76 Conclusions 81 References 81 4 Immediate Implant Placement in Mandibular Anterior and Premolar Sites 83 Stuart Froum, Deporter Douglas, Dai Lao Rodriguez, Mohammad Ketabi, and Benedetta Grassi Introduction 83 Sample Cases 86 Case One 86 Sample Case Two 86 Conclusions 94 References 94 5.1 Minimally Invasive Guided Bone Regeneration Techniques for Hard and Soft Tissue Augmentation with Simultaneous Immediate Implant Placement 97 Mehrdad Lotfazar Introduction 97 Tunneling 97 Intrasocket Guided Bone Regeneration 98 The Ice Cream Cone Technique 105 Conclusion 113 References 117 5.2 Immediate Implants Needing Traditional Guided Bone Regeneration 119 Douglas Deporter, Amir Moeintaghavi, and Mohammad Ketabi Introduction 119 Sample Cases 119 Case One 119 Case Two 122 Case Three 122 Discussion 122 References 128 5.3 Immediate Implant Placement in Compromised Maxillary Anterior and Bicuspid Sites: Immediate Dentoalveolar Restoration with Osseodensification 129 José Carlos Martins da Rosa Introduction 129 Immediate Dentoalveolar Restoration Technique 129 Case Selection 132 Discussion 133 Conclusions 139 References 139 5.4 Aesthetic Reconstruction of Severely Resorbed Alveolar Bone with Immediacy using Tenting Healing Abutments or Tooth Bone "Rings" 141 Dong-Seok Sohn Introduction 141 Background 141 Autogenous Block Bone Grafting 141 Intraoral Distraction Osteogenesis 141 Sandwich Augmenting with Interpositional Bone Grafting 141 Split Bone Block Technique 142 Guided Bone Regeneration (GBR) 142 Soft Tissue Matrix Expansion Technique Using A Tenting Pole Technique 142 The Vertical Tenting Pole Abutment 142 Description of the Sohn Bone Builder Tenting Pole Approach 143 Using Vertical Tenting Pole Healing Abutments in a Maxillary Anterior Site 143 Case One 143 Case Two 146 Vertical Bone Regeneration Around Immediate Implants Using Demineralized Tooth "Rings" 152 Discussion 164 Conclusion 164 References 165 6 Soft Tissue Grafting with Immediate Implant Placement 169 Neda Moslemi and Mohammad Reza Talebi Introduction 169 Evolution of Soft Tissue Grafting during Immediate Implant Placement 169 To Preserve/Improve Buccal Contour Convexity 170 To Prevent Peri-Implant Soft Tissue Dehiscence/Deficiency 171 To Preserve/Improve Interproximal Papilla Thickness/Height 171 To Minimize the Need for Buccal Flap Advancement 171 Should Soft Tissue Grafting be Considered as the Standard of Care in Esthetic Immediate Implant Placement? 172 Surgical Techniques for Soft Tissue Grafting 172 Scarf-Connective Tissue Graft 172 Scarf-Connective Tissue Graft versus Coronally Advanced Flap/Tunnel Technique plus Connective Tissue Graft 172 Tunnel Technique plus Connective Tissue Graft 172 Coronally Advanced Flap plus Connective Tissue Graft 179 When to Select Coronally Advanced Flap plus Connective Tissue Graft or Tunnel Technique plus Connective Tissue Graft? 179 Rotated Pedicle Palatal Flap (RPPF) 179 Why Perform Soft Tissue Grafting and Immediate Implant Placement in the Same Surgery? 186 How Stable Are the Results of Soft Tissue Grafting? 186 Conclusion 193 References 193 7 Anatomically Guided Immediate Implant Placement in Maxillary Anterior and BicuspidSites 197 Deporter Douglas, Quang Nguyen, and Mohammad Ketabi Introduction 197 The Concept of Anatomically Guided Implant Placement 197 Discussion and Conclusions 204 References 210 8 Guided Surgery for Placing Immediate Implants using Standard Osteotomy Preparation or Osseodensification 213 Arndt Guentsch Introduction 213 Digital Workflows in Implant Dentistry 213 Data Acquisition 214 Intraoral Surface Scan (IOS) 215 Virtual Treatment Planning 215 Data Manipulation 215 Registration of Cone Beam Computed Tomography and Intraoral Surface Scan 216 Virtual Tooth Extraction 216 Wax-up 220 Three-Dimensional Implant Positioning 220 Guide Design 222 Sleeve Selection 222 Basic Design Principles 222 Workflow for Guide Design 223 Guide Production 226 Guided Implant Surgery 227 Immediate Implant Placement with Customized Provisional or Healing Abutment 229 Immediate Implant Placement with Guided Osseodensification 230 Conclusions 239 References 239 9 Optimizing Immediate Loading with Immediate Implants 245 Adriano Piattelli, Luca Comuzzi, Alessandro Cipollina, Tea Romasco, Giulia Marchioli, Natalia Di Pietro, and Amirhossein Majidi Introduction 245 History of Immediately Loaded Implants 245 Microstructure of Bone under Loading 246 Immediate Loading of Immediate Implants 247 Biconometric Concept and Navigated Surgery 247 Use of Dynamic Navigation for Immediate Functional-Loaded Immediate Implant Placement 254 Pre- and Immediate Postoperative Use of a Zinc-L-Carnosine Mouthwash 255 Use of Complex Magnetic Fields during Healing of Immediate Functional Loaded Immediate Implant Placements 260 Conclusions 261 References 262 10 Emergence Profile Following Immediate Implant Placement in the Esthetic Zone 265 Edwin Ruales-Carrera, Patrícia Pauletto, Lenin Proaño, and José Luis Viteri Introduction 265 Implant Selection and its Relation to the Emergence Profile 265 Implant Placement in the Esthetic Zone 266 The Emergence Profile Contours 266 Timing of Implant Placement and its Relation to Emergence Profile 267 Prosthetic Modification of the Emergence Profile 268 Transfer of the Emergence Profile 269 Restorative Materials and their Relation to the Emergence Profile 269 Conclusions 273 References 273 11 Immediate Implant Placement in Infected Tooth Sockets 275 Mahdi Kadkhodazadeh, Anahita Moscowchi, and Reza Amid Introduction 275 Treatment Steps 280 Extraction of Infected Teeth 280 Complete Debridement of Tooth Extraction Sockets 280 Platelet Concentrations in Infected Site Implantation 280 Are Systemic Antibiotics Needed? 280 Assessment of Treatment Success 284 Complications 284 Conclusions 284 References 287 12 Angled Implant Design (Dual Axis Implants) in Immediate Implant Placement in the Anterior Maxilla 289 <.