New Surgical Technique
IMMEDIATE DENTOALVEOLAR RESTORATION – IDR IMMERSION COURSE
Immediately loaded implants in compromised sockets
SUMMARY OF THE COURSE
Single-tooth replacement in the esthetic zone has been one of the most common indications for dental implant placement. Compromised teeth are removed using atraumatic principles and immediately replaced by an implant-supported provisional restoration, with excellent esthetic, biological, and functional results.
However, in cases of compromised sites with bone loss/gingival recessions, the clinical scenario presents a different dilemma. Until now, all developed surgical recommendations required long-term treatment with possible undesirable complications in the tissue architecture.
The Immediate Dentoalveolar Restoration (IDR) is a surgical and prosthetical technique established to broaden indications for immediate loading on individual teeth. In this way, tissue losses with varied extensions are reconstructed in the same surgical session of implant placement and provisional crown installation, reducing the number of interventions and keeping predictability on esthetic aspects. The IDR protocol was developed more than 12 years ago from the need to minimize the treatment time
and morbidity of reconstructive procedures used in these cases.
In the course we discuss the scientific basis, the step-by-step technique, indications and bone biology. The IDR technique, which advocates minimally invasive surgery, flapless procedures, is presented as a viable and reproducible alternative.
It is presented several cases, which showed one or more compromised socket walls of the tooth involved, with or without changes of the gingival margin, some with more than 12 years of clinical, radiographic and CT scan follow-up.