Edition V07N02 | Year 2013 | Editorial Caso Clínico | Pages 67 to 72
Immediate implant placement is considered a viable technique due to its reduced surgical time. However, many factors such as quality and position of the attached gingiva, alveolar process integrity, gingival height and shape must be taken into consideration in order to yield excellent final esthetic results. The characteristics of an ideal surgery include tooth extraction with low trauma, placement of a temporary smooth crown as well as a polished and emergence profile that keeps the gingival contour. As a requirement for the use of immediate loading, we should analyze, immediately after implant placement, primary stability (existence of bone for the initial stabilization of the implant), integrity of the alveolar walls, gingival phenotype as well as integrity and amount of soft tissue. Although it is considered a predictable procedure, its indication depends on careful planning.