Esthetic implant solutions in the periodontally compromised anterior region. Expanding the indications for immediate implant placement with the socket rebuilding technique (SRT).

Recent literature has shown that tooth extraction in the esthetic zone is followed by enormous amounts of ridge reduction caused by bone and soft tissue remodeling. The clinical implication of this, among other factors that warrant discussion, is the limitations regarding immediate implant placement in the esthetic zone. On the other hand, staged approaches - even those combined with alveolar ridge preservation techniques and/or alveolar ridge reconstruction - do not always show predictable results, so that esthetic compromises are quite common.