Periodontics, Implantology, and Prosthodontics Integrated: The Zenith-Driven Rehabilitation

Table 1

An appropriate protocol is used to perform immediate tooth replacement in sockets with a buccal wall defect.

Preevaluation and planning	Patient medical history; clinical and radiographic analysis of soft and hard tissue quantity/quality to install an immediate implant; DSD planning
Tooth extraction	Gentle tooth extraction
Implant placement	Flapless immediate installation of a narrow implant in a proper tridimensional position
Socket reconstruction	Combination of slow resorbing graft and a non-cross-linked collagen membrane to reconstruct the buccal wall
Soft tissue graft	A thick connective tissue graft increases volume and maintains tissue margin
Immediate restoration	A screw-retained provisional without occlusal contacts and a platform switched concave design is installed
Definitive restoration	Performed after implant osseointegration and soft and hard tissue healing; use of an abutment with the appropriate emergence profile and adaptation