The dental implant process starts with decision-making at the time of tooth loss
The International Team for Implantology (ITI)- an international not for profit academic organization in the field of dental implantology. It holds annual international symposiums on the different topics related to the vast field of dental implants.
At the recent ITI meeting held in Chicago at the end of April 2015, a keynote lecture was given by Dr. Stephen Chen, current president-elect of the ITI, and periodontist working out of Melbourne, Australia. Dr. Chen’s clinical and scientific interests lie in the field of periodontal tissue regeneration, bone grafting and dental implants. He has published over 30 papers in peer-reviewed journals, authored two textbooks and contributed to six textbooks.
The presentation was an outstanding view into dr. Chen’s own research on post-extraction ridge alterations as well as a current literary review on the subject- which made for a well-rounded presentation.
The information presented was of tremendous value to clinicians who make strategic decisions on the timing of implant placement and adjunctive procedures to optimize outcomes in implant rehabilitation of tooth defects.
Presented here is a synopsis of the conclusions from Dr. Chen’s presentation (Post-Extraction Ridge Alteration – A Risk for Esthetics)
- Conclusions: Dimensional alterations after tooth extraction
After extraction, the facial bone is rapidly resorbed which leads to clinically significant alterations of the ridge
- There is a relatively short window of time to place implants post-extraction
- Implants placed at the time of extraction are subject to more dimensional alteration than implants placed in the early healing phase
- Irrespective of the timing of placement after extraction, additional interventions are required to compensate for the resorption of the facial bone
Additional interventions/procedures that are required to compensate for the resorption of facial bone
These additional procedures include:
- bone grafting procedure
- guided tissue regeneration
- concomitant gingival soft tissue grafting
- tissue support with immediate provisional restorations.
This information is a very good example of the incredibly valuable clinical knowledge that the International Team for Implantology develops through its mission-to promote and disseminate knowledge on all aspects of implant dentistry and related tissue regeneration through education and research to the benefit of the patient.
At Seaforth Oral Surgery our team of Oral and Maxillofacial surgeons Dr. Antoine Chehade and Dr. Marc Shenouda have proudly developed our clinical protocols with a strong dependence on knowledge acquired through the ITI with an aim of improving our clinical outcomes in implant rehabilitation.