Immediate Flapless Insertion

Immediate implant placement after teeth extraction is considered an option in the treatment of edentulism. One of the problems of immediate implants is the achievement of a good primary stability. This can be difficult in patients having teeth with long roots (leaving a big void in the bone when extracted) and in patients with low bone density (D3-D4) or osteopenia. In this case an implant designed to have a good primary stability can be really helpful, together with long implants, under preparation of osteotomic site and correct surgical technique. A moderate (1-2 mm) subcrestal position can compensate bone remodeling and resorption. The use of angulated abutment is useful to correct the prosthetic axial insertion (especially in difficult cases with a very deep bite) and to position the prosthetic margin away from the bone.