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Posterior Tooth Replacement with Dental Implants

Author(s): Dental News

LEARNING OBJECTIVES

  • Discuss the augmentation of molar extraction sockets with rhBMP-2/ACS as a method in tooth replacement.
  • Analyze the outcome of a case series of consecutively treated patients who received grafting of the alveolus at time of molar extraction 
  • Explain the fate of implants placed under functional, occlusal load in sites augmented with any bone graft

ABSTRACT

This case series demonstrates seven molar site implants placed in six consecutively treated patients. All sites were augmented with rhBMP-2 (1.50 mg/cc)/ACS (recombinant human Bone Morphogenetic Protein-2/Absorbable Collagen Sponge) at extraction to regenerate bone facilitating implant placement. In four patients, osteotomies were initiated with trephines to evaluate qualitatively for native bone and for the absence of residual ACS. All sites facilitated implant placement after augmentation. All seven implants achieved primary stabilization and were functionally loaded. No implants were lost or developed complications. It can be concluded that augmenting molar extraction sockets with rhBMP-2/ACS can allow standard implant placement in the posterior dentition that is capable of withstanding a functional load - Read more

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