Podcast
Questions and Answers
What is the recommended extraction technique to preserve bone and gingival architecture during immediate implant placement?
What is the recommended extraction technique to preserve bone and gingival architecture during immediate implant placement?
- Forceful extraction
- Atraumatic extraction (correct)
- Minimal osteotomy
- Sectioning of the tooth
What is the success rate of immediate implant placement compared to delayed placement?
What is the success rate of immediate implant placement compared to delayed placement?
- Success rate depends on the type of tooth being replaced
- Immediate placement has a lower success rate
- Delayed placement has a lower success rate
- Both have similar success rates (correct)
What should be considered when extracting premolars?
What should be considered when extracting premolars?
- Size and contour of the tooth
- Number of roots
- Both A and B (correct)
- Neither A nor B
What type of force should be applied during premolar extraction to preserve adjacent bone and gingiva?
What type of force should be applied during premolar extraction to preserve adjacent bone and gingiva?
When is minimal osteotomy recommended during extraction?
When is minimal osteotomy recommended during extraction?
What should be severed before extraction to minimize damage to adjacent bone?
What should be severed before extraction to minimize damage to adjacent bone?
How long should be invested in extraction and implant placement, respectively?
How long should be invested in extraction and implant placement, respectively?
What is the importance of atraumatic extraction during immediate implant placement?
What is the importance of atraumatic extraction during immediate implant placement?
What is the recommended way to choose an extraction instrument?
What is the recommended way to choose an extraction instrument?
Where can questions about immediate implant placement be asked?
Where can questions about immediate implant placement be asked?
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Study Notes
- Immediate implant placement is an established procedure with similar success rates to delayed placement.
- Extraction is a crucial and time-consuming step in immediate implant placement.
- A traumatic extraction technique should be used to preserve bone and gingival architecture.
- The principles of a traumatic extraction include minimal flap opening, periotome luxation, minimal osteotomy, and complete granulation tissue curation.
- Extraction of premolars requires careful consideration of their size, contour, and number of roots.
- Rotating force should be applied instead of elevating force during premolar extraction to preserve adjacent bone and gingiva.
- Sectioning may be necessary for premolars with multiple roots.
- Minimal osteotomy may be used to insert extraction instruments when there is limited space.
- Connective tissue attachment and Sharpey's fibers should be severed before extraction to minimize damage to adjacent bone.
- Tactile sensitivity should be used during extraction to prevent damage to surrounding structures.
- Immediate implant placement is an established procedure.
- Atraumatic extraction is important, especially for premolars.
- There is no set way to do extraction.
- Choose extraction instrument appropriately and consider peritone.
- Put your hand in the surrounding structure to understand how it responds.
- Be patient and cautious during extraction.
- Invest one hour for extraction and five minutes for implant placement.
- Premolar extraction is important for good implant placement.
- More learning experiences are available in offline master courses.
- Questions can be asked on the Denal home page.
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