Finelle G, Sanz-Martín I, Knafo B, Figué M, Popelut A. Int J Comput Dent. 2019;22(2):187-204.

https://www.ncbi.nlm.nih.gov/pubmed/31134225

This case series aimed to evaluate the performance and efficacy of a digitally fabricated sealing socket abutment in implant immediacy.

Methods:
Molars in the mandible or maxilla were extracted atraumatically (patients n=29) and implants (n=30) were placed in the irrigated and cleaned sockets. Small cerabone® granules were placed around the implants to augment the gaps. A digital impression was taken and based on that a customized healing abutment was milled chairside. Then, the abutment was placed onto the implants. After three to four months, the abutment was removed and a digital impression was taken for preparation of the final prosthesis. The clinical outcomes were evaluated at one and two years post-surgery.

Results:
– Uneventful healing for all patients one week after abutment placement
– Maintenance of the buccal contours over the 2-year follow up period
– All implants remained successfully in situ over the 2-year follow up period

Conclusion:
The authors summarized that the use of a CAD/CAM-fabricated healing abutment in immediate implant placement is a viable treatment option for the management of molar extraction sites.

Dr. Gary Finelle