BONE CLIMBING UP DENTAL IMPLANT

 The lower right first molar was extracted due to severe periodontitis resulting in loss of bone support. Two mini dental implants were immediately inserted into whatever bone was available. The patient was covered with antibiotics for several days. A porcelain bonded to metal crown was fixed about 2 months later over a composite core that was lightcured over the minis. Six years later, an xray was taken.... looks like the bone has "climbed up" the implant. The tooth was firm and functional.
A NEW WAY TO REGAIN ALVEOLAR BONE SANS GRAFTS?!!

A SIGNIFICANT PARADIGM SHIFT IN THE GROWING BACK OF ALVEOLAR BONE

Human Histologic Verification of

Osseointegration of an Immediate

Implant Placed into a Fresh Extraction

Socket With Excessive Gap Distance

Without Primary Flap Closure, Graft, or

Membrane: A Case Report

Dennis P. Tarnow, DDS*

Stephen J. Chu, DMD ,MSD, CDT**

* Clinical Professor and Director of Implant Education, Columbia University College of

Dental Medicine, New York, New York.

** Clinical Associate Professor and Director of Esthetic Education, Columbia University

College of Dental Medicine, New York, New York.

This case report provides

clinical and histologic proof that the immediate placement of implants into

extraction sockets with an intact buccal wall allows healing and osseointegration

despite a large gap distance and without primary flap closure, a bone graft, or

a barrier membrane. (Int J Periodontics Restorative Dent 2011;31:515–521.)

In the discussion, the following statement was made:-

It is possible then that an

implant placed in an extraction site

without soft tissue closure could

heal with bone-to-implant contact

before the soft tissues have an opportunity

to interfere.

However, I beg to differ. 

Based on the case shared on "Bone Climbing Up Mini Dental Implant",

my postulation is as follows:-

In spite of the absence of a buccal and lingual plate, no well defined socket,

 a mini dental screwed into the cortical plate at the bottom of the bony crater

left behind by a mobile, periodontally compromised tooth, 

will stimulate the alveolar bone to reform and grow around the implant 

to a more normal level

 in spite of the presence of  granulation and epithelial tissue.