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Volume 17 , Issue 1
January/February 2002

Pages 113-120

Immediate Implant Placement Following a Modified Trephine/Osteotome Approach: Success Rates of 116 Implants to 4 Years in Function

Paul A. Fugazzotto, DDS

PMID: 11858567

Purpose: A technique is presented which utilizes a trephine with a 3.0-mm external diameter followed by an osteotome to implode a core of maxillary posterior alveolar bone prior to immediate implant placement. Materials and Methods: The technique and its indications and contraindications are described in detail. Results: One hundred sixteen implants were placed and uncovered utilizing this technique. Two implants were mobile at the time of uncovering. Discussion: One hundred fourteen implants were restored and have been functioning successfully for up to 4 years according to the Albrektsson criteria, yielding a success rate of 98.3%. Conclusion: No implants have been lost or are failing in function. (INT J ORAL MAXILLOFAC IMPLANTS 2002;17:113120)

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