Laureen Langer: Immediate vs. delayed placement for anterior and posterior single tooth sites, are there any differences ?

The lecture reviews and compares a data pool with almost 40.000 implants placed in an over 20 year time period. Dr Laureen Langer concludes that there are high and equivalent survival rates and no statistical differences between immediate and delayed placement, and that the immediate placement can offer for both patient and clinician advantages such as shorter treatment time between extraction and prosthetic restoration, capitalizing on the healing capabilities of fresh extraction sockets and minimizing the number of surgical interventions. In molar sites there were more losses than in the other categories anterior and bicuspid, and there is a slight evidence that in mandible molar sites delayed placement is preferred, so in these cases sound decision criteria regarding infection control and ability to stabilize the implant are helpful. In molar sites the ideal prosthetic position my be more difficult to achieve with immediate placement.