Last week I began sharing a treatment planning approach to implant placement and sequencing. It looked at clinical situations that would be best served by immediate placement or hard tissue preservation or augmentation. This second part will look at case scenarios that should be evaluated for soft tissue preservation/augmentation, a combination of soft and hard tissue procedures or can be dealt with effectively by allowing natural healing after extraction.
Soft Tissue Preservation/Augmentation:
- Sites planned for implants with thin or highly scalloped tissue
- Sites planned for implant placement with a deficit of tissue or discolored tissue
- Prior to bone augmentation where there are soft tissue challenges
- In highly esthetic area planned for an implant
Combination of Soft & Hard Tissue Preservation/Augmentation:
- Cases with combined anterior and posterior extractions and bony defects of greater than 50%
- Implant reconstructions
- Cases where implant placement will follow extraction by more than 6 months
Extraction with Natural Healing:
- Anterior or posterior extractions sites planned for implants with no bony of soft tissue deficits
- Extraction sites where implant placement is planned within 6-8 weeks and no longer with good bone and tissue
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