Gli impianti post-estrattivi: indicazioni, limiti, tecnica chirurgica

Objectives. To guide surgeons in deciding when and when not to use immediate implants and to review the correct management of different clinical situations that can arise during this kind of therapy. Materials and methods. This report reviews the underlying principles of osseointegration, comparing modern guidelines with original protocols; analyzes the principles of post-extraction wound healing; and outlines the indications and limitations of immediate implants with detailed descriptions of surgical technique. The patients whose cases are described have all provided informed consent to treatment procedures and to the publication of information on their cases. Results and conclusions. Immediate implants represent a valid solution, which, depending on the features of the individual case, can offer several advantages for both the dentist and the patient. Immediate implant survival rates are similar to those associated with implants inserted in native bone, whereas overall treatment time, number of surgical procedures, and patient discomfort are decidedly reduced. Technically speaking, this is a more complex procedure, and as far as the final esthetic results are concerned, the individual features of each case must be carefully evaluated from various points of view.