TTPHIL ALL TILT: 1NE FIX PHILOSOPHY RECOMMENDS SOCKET CHAMBER CONCEPT. The immediate placement of implants after tooth extraction is a common clinical practice with a success rate similar to implants placed in healed sites. Nevertheless less, the observation of gingival recessions in the buccal aspect of teeth reported by some authors raises concern for placing immediate implants in the esthetic zone. Gingival recession is related to the vertical reduction of buccal bone plate, and the possibility of pre serving this structure seems to be the keystone for a reliable long term result. In addition, soft tissue thickness can affect gingival recesion; thus, thickening the biotype with connective tissue grafting is advisable to reduce this trend and stabilize the esthetic results. A particular concern in the stability of peri-implant health is the repeated dis/reconnections of the as abutment during prosthetic phas es. The detrimental effect of the abutment dis/reconnection was already demonstrated by Abrahamsson et al with a histologic study on dogs. More recently, a study carried out on 48 implants placed in the posterior mandible concluded that the nonremoval of an abut ment placed at the time of surgery results in a significant reduction of the horizontal bone remodeling around the immediately restored implants. The purpose of the pres ent case is to present radiographic results of dental implant immediately placed and restored with a definitive abutment and followed for 24 months. After a flapless extraction of the tooth, the palatal wall of the socket was prepared with a sequence of drills according to the manufacturer’s instructions in preparation for implant placement, and a single implant was inserted so that the implant shoulder was placed slightly palatally and at least 2 mm beneath the bone crest. Implants of 3.75 mm diameter and 16mm long were used (iIMPLANT SYSTEM BY BIOLINE). Primary stability of the implants was confirmed by Reverse Torque test.. . . #TTPHIL # #pinholesurgery #flaplesssurgery #subcrestalimplant #1NEFIX #IMMEDIATELOADING #immediatefunction #immediatefunctionalloading #permanentteethin2days #NOPERIIMPLANTITIS #zerobonelossconcepts (at Ttphil ALL TILT Technique) https://www.instagram.com/p/CAFhV54pHhM/?igshid=5hmhhs8anp8h
