Speakers Daniele Cardaropoli

Doctor in Dentistry and Certificate in Periodontology at the University of Torino, Italy. Active Member of Italian Society of Periodontology, European Federation of Periodontology, Italian Society of Osseointegration and Academy of Osseointegration. International Member of the American Academy of Periodontology. Scientific Director of PROED - Institute for Professional Education in Dentistry (Torino). Winner of the «Goldman Award» of the Italian Society of Periodontology and of the «National Award» of the Italian Society of Orthodontics. Member of the Editorial Board of The International Journal of Periodontics and Restorative Dentistry, and of American Journal of Orthodontics & Dentofacial Orthopedics.

Author of several articles published on peer-reviewed journals, he focused his interest on Periodontology, Implant Dentistry, Regenerative Therapy and Ortho-Perio Interdisciplinary treatment. Private practice in Torino, Italy.

Surgical and Esthetic Considerations in Immediate Single Tooth Implant Placement

Immediate tooth replacement seems to be a reliable therapy for patients as they can benefit from time gain. Unfortunately, tooth extraction is usually followed by a variable amount of bone resorption, due to the modeling and remodeling processes in the empty alveolus. The dimensional ridge contour changes may compromise the results of implant treatment and, in case of implant placement in fresh extraction sockets, the volumetric changes should be prevented. Different procedures have been proposed to reduce bone resorption and to maintain the original ridge volume after tooth extraction with simultaneous implant placement. The management of the bone-to-implant gap, through a revised concept, could be interpreted as the application of a ridge preservation procedure with the implant inserted in the middle. A contemporary technique describes the grafting of the bone-to-implant gap before and not after implant insertion, in order to   provide a more accurate tridimensional filling. This approach seems to able to compensate for marginal bone remodeling, preserving the both the horizontal and vertical dimension of the ridge. Instant provisionalization of immediate single and multiple teeth implants, results in a more stable maintenance of the soft tissue contour and esthetics, when compared to the pre-treatment evaluation of the gingival harmony. Interdental, midfacial and horizontal soft tissue dimensions tend also to remain stable, while new perspectives involving the use of enamel matrix protein around immediate implants confirm the possibility to enhance the wound healing also around immediate post-extraction implants.

Daniele Cardaropoli

Daniele Cardaropoli