Immediate Implant Placement in the Posterior Region Combining Sealing Socket Abutment and Peri-implant Socket Filling.

This study is evaluating a technique for placing a dental implant immediately into the socket left behind after a tooth is extracted in the back part of the mouth (the posterior region). Specifically, it combines a sealing socket abutment — a device that plugs the extraction socket — with a material to fill the space around the implant. Placing an implant right after extraction can reduce total treatment time and preserve the bone that remains after the tooth is removed. To be eligible, you must be over 18, in good general health, have one tooth that needs to be removed, have healthy gums with good bone around the tooth, be a light smoker (fewer than 10 cigarettes per day), and have given written consent. You'll be excluded if you have an autoimmune condition, uncontrolled diabetes, are pregnant, take steroids or bisphosphonates, or have any active oral infection, inflammation, or mucosal disease. This research is important because immediate implant placement reduces the number of surgical procedures a patient must undergo and can better preserve the natural contours of the jaw. However, it is technically challenging and not appropriate for all cases. This study aims to define when this approach is safe and effective, which could help dentists and oral surgeons make more evidence-based decisions for patients who need tooth replacement.