Immediate implant placement has been subject to controversy ever since. The idea of immediately replacing a tooth by inserting an implant into the empty socket is a tempting concepts that appears to serve patients’ needs and shorten treatment time. It has been advocated primarily also to preserve the volume of the alveolar crest through functional loading of the alveolar bone. Unfortunately, great results have been contrasted by catastrophic failures in terms of aesthetic and functional outcome, which has led to a more considerate attitude towards immediate placement strategies. Over the years, the crucial factors for a successful result of immediate implant placement such as the thickness and the condition of the buccal socket wall as well as the thickness of peri-implant soft tissues have been identified and have to be taken into consideration when patients ask for a shortened treatment cycle using immediate implant placement. Risk factors identified can be addressed using various strategies. The presentation gives an overview of anatomical conditions and surgical strategies that need to be taken into consideration when immediate implant placement is planned or discussed in patients with imminent tooth loss.
Henning Schliephake received his training in Oral Maxillofacial Surgery and Facial Plastic Surgery from 1989 to 1996 at the in Medical University Hannover, where he also did his PhD degree on in-vivo cultivation of bone in 1995. He became full professor and chair of the Department of Oral and Maxillofacial Surgery at the Georg August University in Göttingen in 2001. He has chaired several national scientific associations such as the German Association for Oral Implantology (DGI), the Association for Oral Surgery and the German Society of Dental Oral and Craniomandibular Sciences (DGZMK). He is a member of the National Academy of Sciences and is currently President of the EAO as well as a Board Member of the German Association for Oral Maxillofacial Surgery. He is Editor in Chief of the “Oral and Maxillofacial Surgery” and is member of the editorial board of a couple of scientific journals such as Oral Oncology and the International Journal of Oral and Maxillofacial Surgery. His research foci are free flap reconstructive surgery and oral rehabilitation in head and neck oncology as well as tissue engineering, growth factors and biomaterials.