CONCLUSIONS

 

 

More and more evidence is being produced on the efficacy and safety of utilizing PET/Socket Shield in conjunction with immediate implant placement to avoid tissue collapse that always follows implant therapy.

However caution is advised both in case selection and also in procedure's performance, as it’s a very technique sensitive procedure.

 

In the above case report the authors highlight the biological benefit of putting together technology and biology:

 

PET therapies by keeping a SS fragment of the root and it’s corresponding PDL, preventing in that way, most of the tissue remodeling and collapse, always expected in these kind of clinical situations;

 

One abutment one time protocol, by immediately extending your implant’s neck (what the authors call the implant extender concept) and creating, through the Bioblock concept (Eduardo Anitua) a stable zero microgap implant-abutment junction on a virtual one piece implant;

 

The use of an abutment with a controlled nano-roughness surface,  prone to soft tissues’ adherence; the use of digital CAD-CAM technology that allows for precise design and emergence profile’s planning, as well as fabrication of machined zirkonia restorations further enhancing soft tissues’ response around dental implant’s restorations; maintaining, with a PET procedure part of the patient's root, all three aspects allowed an unique enhancement of the host's biological response.

 

This case report is the first, to the authors’ knowledge, to demonstrate a 2 year follow-up successful preservation of post-extraction socket tissues combining PET therapies/Socket Shield, one abutment one time (UNIT abutment), immediate load (with occlusal load) through a digital workflow using a CAD/CAM zirkonzahn final crown.