RESUMO
OBJECTIVE: To compare with pristine sites bone resorption and soft tissue adaptation at implants placed immediately into extraction sockets (IPIES) in conjunction with deproteinized bovine bone mineral (DBBM) particles and a collagen membrane. MATERIAL AND METHODS: The mesial root of the third premolar in the left side of the mandible was endodontically treated (Test). Flaps were elevated, the tooth hemi-sectioned, and the distal root removed to allow the immediate installation of an implant into the extraction socket in a lingual position. DBBM particles were placed into the defect and on the outer contour of the buccal bony ridge, concomitantly with the placement of a collagen membrane. A non-submerged healing was allowed. The premolar on the right side of the mandible was left in situ (control). Ground sections from the center of the implant as well as from the center of the distal root of the third premolar of the opposite side of the mandible were obtained. The histological image from the implant site was superimposed to that of the contralateral pristine distal alveolus, and dimensional variation evaluated for the hard tissue and the alveolar ridge. RESULTS: After 3 months of healing, both histological and photographic evaluation revealed a reduction of hard and soft tissue dimensions. CONCLUSION: The contour augmentation performed with DBBM particles and a collagen membrane at the buccal aspects of implants placed IPIES was not able to maintain the tissue volume.
Assuntos
Perda do Osso Alveolar/prevenção & controle , Substitutos Ósseos/farmacologia , Colágeno/farmacologia , Carga Imediata em Implante Dentário/métodos , Doenças Mandibulares/prevenção & controle , Membranas Artificiais , Animais , Dente Pré-Molar , Cães , Fotografação , Extração Dentária , Alvéolo Dental/cirurgiaRESUMO
AIM: To evaluate the influence of a sub-epithelial connective tissue graft placed at the buccal aspect of implants installed immediately after tooth extraction on the dimensional changes of hard and soft tissues. MATERIALS AND METHODS: In six Labrador dogs a bilateral partial- thickness dissection was made buccal to the second mandibular premolar. At the lingual aspect, full-thickness flaps were elevated. The teeth were extracted and implants installed immediately into the distal socket. A connective tissue graft was obtained from the palate and applied to the buccal aspect of the test sites, whereas contra-laterally, no graft was applied. The flaps were sutured to allow a non-submerged installation. After 4 months of healing, the animals were sacrificed, ground sections were obtained and histomorphometric analyses were performed. RESULTS: After 4 months of healing, all implants were integrated (n = 6). Both at the test and at the control sites bone resorption occurred: 1.6 mm and 2.1 mm, respectively. The difference was not statistically significant. The coronal aspect of the peri-implant soft tissue was wider and located more coronally at the test compared with the control sites. The differences were statistically significant. CONCLUSIONS: The application of a connective tissue graft placed at the buccal aspect of the bony wall at implants installed immediately after tooth extraction yielded a minimal preservation of the hard tissues. The peri-implant mucosa, however, was significantly thicker and more coronally positioned at the test compared with the control sites.
Assuntos
Tecido Conjuntivo/transplante , Carga Imediata em Implante Dentário , Extração Dentária , Alvéolo Dental/cirurgia , Perda do Osso Alveolar/prevenção & controle , Animais , Dente Pré-Molar , Implantes Dentários , Cães , Mandíbula/cirurgia , Osseointegração , Retalhos CirúrgicosRESUMO
OBJECTIVE: To compare immediate and staged approach implant placement in circumferential defects treated with deproteinized bovine bone mineral (DBBM); hidroxyapatite/tricalcium phosphate (HA/TP); autogenous bone (Ab); and coagulum (Cg); upon implant stability, osseointegration and alveolar crest maintenance. MATERIALS AND METHODS: Six dogs underwent extractions of lower premolars, bilaterally. Twelve weeks later four bone defects (6 mm wide/4 mm long) were drilled at one side and randomly filled with DBBM; HA/TP; Ab; and Cg, respectively, and left to heal (staged approach). Eight weeks later one implant (Osseospeed(™) , AstraTech) was placed in experimental sites. At the same session four defects were drilled on contra-lateral side and implants were inserted immediately after biomaterials grafting (immediate approach). Animals were euthanized 8 weeks later. Implant stability was measured by resonance frequency analysis (RFA) at installation and after sacrifice. Ground sections were prepared for bone contact (BIC); bone area (BA); distance implant shoulder-bone crest (IS-C); distance implant shoulder first bone contact (IS-B); and areas occupied by soft tissue. RESULTS: The BA and BIC were superior in the staged approach. The Cg exhibited higher BIC and BA as compared with other materials at the total implant body (P = 0.004 and 0.012, respectively). The DBBM, HA/TP and Ab groups rendered similar BA and BIC. The immediate approach resulted in less crest resorption compared to staged approach. The biomaterials did not affect the IS-C and IS-B measurements. Particles area tended to be higher in DBBM group than HA/TP (P = 0.15), while soft tissue infiltrate was higher in DBBM group when used in the immediate approach (P = 0.04). The RFA indicated gain in stability in the staged approach (P = 0.002). The correlation test between RFA vs. BIC and BA demonstrated inferior stability for DBBM group in immediate approach (P = 0.01). CONCLUSIONS: Implants placed in healed defects resulted in better stability as a consequence of higher BIC and BA. The Cg alone rendered increased BIC compared to other materials in both approaches. Immediate approach should be preferable to staged approach in terms of alveolar crest maintenance. The BIC and BA values did not vary between micro and macro-threads in this experimental model. Implants installed in sites filled with DBBM in immediate approach were less stable.
Assuntos
Substitutos Ósseos/farmacologia , Proteínas do Esmalte Dentário/farmacologia , Implantação Dentária Endóssea/métodos , Implantes Dentários , Hidroxiapatitas/farmacologia , Mandíbula/cirurgia , Minerais/farmacologia , Osseointegração , Perda do Osso Alveolar/prevenção & controle , Animais , Transplante Ósseo/métodos , Cães , Carga Imediata em Implante Dentário , Masculino , CicatrizaçãoRESUMO
AIM: To evaluate the influence of deproteinized bovine bone mineral (DBBM) particles concomitant with the placement of a collagen membrane on alveolar ridge preservation and on osseointegration of implants placed into alveolar sockets immediately after tooth extraction. MATERIAL AND METHODS: The pulp tissue of the mesial roots of (3) P(3) was removed in six Labrador dogs and the root canals were filled. Flaps were elevated in the right side of the mandible, and the buccal and lingual alveolar bony plates were exposed. The third premolar was hemi-sectioned and the distal root was removed. A recipient site was prepared and an implant was placed lingually. After implant installation, defects of about 0.6 mm wide and 3.1 mm depth resulted at the buccal aspects of the implant, both at the test and at the control sites. The same surgical procedures and measurements were performed on the left side of the mandible. However, DBBM particles with a size of 0.25-1 mm were placed into the remaining defect concomitant with the placement of a collagen membrane. RESULTS: All implants were integrated into mature bone. No residual DBBM particles were detected at the test sites after 4 months of healing. Both the test and the control sites showed buccal alveolar bone resorption, 1.8 ± 1.1 and 2.1 ± 1 mm, respectively. The most coronal bone-to-implant contact at the buccal aspect was 2 ± 1.1 an 2.8 ± 1.3 mm, at the test and the control sites, respectively. This difference in the distance was statistically significant. CONCLUSION: The application of DBBM concomitant with a collagen membrane to fill the marginal defects around implants placed into the alveolus immediately after tooth extraction contributed to improved bone regeneration in the defects. However, with regard to buccal bony crest preservation, a limited contribution of DBBM particles was achieved.
Assuntos
Colágeno/farmacologia , Implantação Dentária Endóssea/métodos , Implantes Dentários , Minerais/farmacologia , Alvéolo Dental/cirurgia , Animais , Reabsorção Óssea , Dente Suporte , Cães , Mandíbula/cirurgia , Osseointegração , Tamanho da Partícula , Propriedades de Superfície , Retalhos Cirúrgicos , Titânio , CicatrizaçãoRESUMO
AIM: To evaluate the soft tissue and the dimensional changes of the alveolar bony crest at sites where deproteinized bovine bone mineral (DBBM) particles, concomitantly with the placement of a collagen membrane, were used at implants installed into sockets immediately after tooth extraction. MATERIAL AND METHODS: The pulp tissue of the mesial roots of (3) P(3) was removed in six Labrador dogs, and the root canals were filled. Flaps were elevated bilaterally, the premolars hemi-sectioned, and the distal roots removed. Recipient sites were prepared in the distal alveolus, and implants were placed. At the test sites, DBBM particles were placed in the residual marginal defects concomitantly with the placement of a collagen membrane. No treatment augmentation was performed at the control sites. A non-submerged healing was allowed. Impressions were obtained at baseline and at the time of sacrifice performed 4 months after surgery. The cast models obtained were analyzed using an optical system to evaluate dimensional variations. Block sections of the implant sites were obtained for histological processing and soft tissue assessments. RESULTS: After 4 months of healing, no differences in soft tissue dimensions were found between the test and control sites based on the histological assessments. The location of the soft tissue at the buccal aspect was, however, more coronal at the test compared with the control sites (1.8 ± 0.8 and 0.9 ± 0.8 mm, respectively). At the three-dimensional evaluation, the margin of the soft tissues at the buccal aspect appeared to be located more apically and lingually. The vertical dislocation was 1 ± 0.6 and 2.7 ± 0.5 mm at the test and control sites, respectively. The area of the buccal shrinkage of the alveolar crest was significantly smaller at the test sites (5.9 ± 2.4 mm(2) ) compared with the control sites (11.5 ± 1.7 mm(2) ). CONCLUSION: The use of DBBM particles concomitantly with the application of a collagen membrane used at implants placed into sockets immediately after tooth extraction contributed to the preservation of the alveolar process.
Assuntos
Processo Alveolar/cirurgia , Colágeno/farmacologia , Implantes Dentários , Carga Imediata em Implante Dentário/métodos , Alvéolo Dental/cirurgia , Animais , Reabsorção Óssea , Bovinos , Cães , Osseointegração , Estatísticas não Paramétricas , Propriedades de Superfície , Retalhos Cirúrgicos , Titânio , Extração Dentária , CicatrizaçãoRESUMO
AIM: To study the influence on the healing of soft and hard peri-implant tissues when implants of different sizes and configurations were installed into sockets immediately after tooth extraction. MATERIAL AND METHODS: Transmucosal cylindrical implants, 3.3 mm in diameter in the control sites, and conical 5 mm in diameter in the test sites, were installed into the distal socket of the fourth mandibular premolars in dogs immediately after tooth extraction. After 4 months, the hard and soft tissue healing was evaluated histologically. RESULTS: All implants were integrated in mineralized mature bone. Both at the test and control sites, the alveolar crest underwent resorption. The buccal bony surface at the implant test sites (conical; 3.8 mm) was more resorbed compared with the control sites (cylindrical; 1.6 mm). The soft tissue dimensions were similar in both groups. However, in relation to the implant shoulder, the peri-implant mucosa was located more apically at the test compared with the control sites. CONCLUSION: The present study confirmed that the distance between the implant surface and the outer contour of the buccal alveolar bony crest influenced the degree of resorption of the buccal bone plate. Consequently, in relation to the implant shoulder, the peri-implant mucosa will be established at a more apical level, if the distance between the implant surface and the outer contour of the alveolar crest is small.
Assuntos
Processo Alveolar/cirurgia , Implantação Dentária Endóssea/métodos , Implantes Dentários para Um Único Dente , Planejamento de Prótese Dentária , Alvéolo Dental/cirurgia , Animais , Cães , Osseointegração , Estatísticas não Paramétricas , Retalhos Cirúrgicos , Extração Dentária , CicatrizaçãoRESUMO
AIM: To evaluate the influence of magnesium-enriched hydroxyapatite (MHA) (SintLife(®)) on bone contour preservation and osseointegration at implants placed immediately into extraction sockets. MATERIAL AND METHODS: In the mandibular pre-molar region, implants were installed immediately into extraction sockets of six Labrador dogs. MHA was placed at test sites, while the control sites did not receive augmentation materials. Implants were intended to heal in a submerged mode. After 4 months of healing, the animals were sacrificed, and ground sections were obtained for histomorphometric evaluation. RESULTS: After 4 months of healing, one control implant was not integrated leaving n=5 test and control implants for evaluation. Both at the test and the control sites, bone resorption occurred. While the most coronal bone-to-implant contact was similar between test and control sites, the alveolar bony crest outline was maintained to a higher degree at the buccal aspect of the test sites (loss: 0.7 mm) compared with the control sites (loss: 1.2 mm), even though this difference did not reach statistical significance. CONCLUSIONS: The use of MHA to fill the defect around implants placed into the alveolus immediately after tooth extraction did not contribute significantly to the maintenance of the contours of the buccal alveolar bone crest.
Assuntos
Materiais Biocompatíveis/uso terapêutico , Substitutos Ósseos/uso terapêutico , Durapatita/uso terapêutico , Carga Imediata em Implante Dentário , Compostos de Magnésio/uso terapêutico , Mandíbula/cirurgia , Alvéolo Dental/cirurgia , Perda do Osso Alveolar/patologia , Processo Alveolar/patologia , Animais , Dente Pré-Molar/cirurgia , Calcificação Fisiológica/fisiologia , Tecido Conjuntivo/patologia , Implantes Dentários , Planejamento de Prótese Dentária , Cães , Mandíbula/patologia , Osseointegração/fisiologia , Propriedades de Superfície , Fatores de Tempo , Extração Dentária , Alvéolo Dental/patologiaRESUMO
Objetivo: avaliar a influência da instalação de implantes em alvéolos imediatamente após a extração do elemento dental na regeneração dos tecidos peri-implantares com implantes de diferentes configurações Material e métodos: Nos alvéolos distais dos quartos pré-molares mandibulares de cães, imediatamente após as extrações das raízes dentais, foram instalados implantes cilíndricos com 3,3 mm de diâmetro (grupo controle) e implantes cônicos com 5,0 mm de diâmetro (grupo teste). Foram avaliados histologicamente a regeneração dos tecidos duros e moles peri-implantares após 4 meses do procedimento cirúrgico. Resultados: Todos os implantes apresentaram-se osseointegrados ao tecido ósseo maduro mineralizado. A crista óssea alveolar sofreu reabsorção tanto no grupo teste como controle. A superfície óssea vestibular dos implantes do grupo teste (cônico; 3,6 mm) apresentou maior grau de reabsorção em comparação ao grupo controle (cilíndrico; 1,6 mm). As dimensões dos tecidos moles apresentaram-se semelhantes em ambos os grupos. No entanto, em relação ao ombro do implante, a mucosa peri-implantar localizou-se mais apicalmente no grupo teste em relação ao grupo controle. Conclusão: Este estudo confirmou que a distância entre a superfície do implante e o contorno externo da crista óssea alveolar vestibular influenciou no grau de reabsorção da tábua óssea vestibular. Consequentemente, em relação ao ombro do implante, a mucosa peri-implantar será estabelecida em um nível mais apical, se a distância entre a superfície do implante e o contorno externo da crista óssea alveolar for menor
Aim: the aim of the present experiment was to study the influence of implant installation into sockets immediately after tooth extraction on the healing periimplant tissues with implants of various configurations. Material & methods: Transmucosal cylindrical 3.3mm in diameter implants in the control sites, and conical 5.0mm in diameter in the test sites, were installed into the distal socket of the forth mandibular premolars in dogs immediately after tooth extraction. After 4 months, the hard and soft tissue healing was evaluated histologically. Results: All implants were integrated in mineralized mature bone. Both at the test and control sites, the alveolar crest underwent resorption. The buccal bony surface at the implant of the test sites (conical; 3.6mm) was more resorbed compared to the control sites (cylindrical; 1.6mm). The soft tissue dimensions were similar in both groups. However, in relation to the implant shoulder, the periimplant mucosa was located more apically at the test compared to the control sites. Conclusion: The present study confirmed that the distance between the implant surface and the outer contour of the buccal alveolar bony crest influenced the degree of resorption of the buccal bone plate. Consequently, in relation to the implant shoulder, the peri-implant mucosa will be established at a more apical level if the distance between the implant surface and the outer contour of the alveolar crest is small
Assuntos
Animais , Cães , Regeneração Óssea , Carga Imediata em Implante Dentário , Implantes Dentários , Cirurgia Bucal , CãesRESUMO
Objetivo: avaliar a influência da instalação de implantes em alvéolos imediatamente após a extração do elemento dental na regeneração dos tecidos peri-implantares com implantes de diferentes configurações Material e métodos: Nos alvéolos distais dos quartos pré-molares mandibulares de cães, imediatamente após as extrações das raízes dentais, foram instalados implantes cilíndricos com 3,3 mm de diâmetro (grupo controle) e implantes cônicos com 5,0 mm de diâmetro (grupo teste). Foram avaliados histologicamente a regeneração dos tecidos duros e moles peri-implantares após 4 meses do procedimento cirúrgico. Resultados: Todos os implantes apresentaram-se osseointegrados ao tecido ósseo maduro mineralizado. A crista óssea alveolar sofreu reabsorção tanto no grupo teste como controle. A superfície óssea vestibular dos implantes do grupo teste (cônico; 3,6 mm) apresentou maior grau de reabsorção em comparação ao grupo controle (cilíndrico; 1,6 mm). As dimensões dos tecidos moles apresentaram-se semelhantes em ambos os grupos. No entanto, em relação ao ombro do implante, a mucosa peri-implantar localizou-se mais apicalmente no grupo teste em relação ao grupo controle. Conclusão: Este estudo confirmou que a distância entre a superfície do implante e o contorno externo da crista óssea alveolar vestibular influenciou no grau de reabsorção da tábua óssea vestibular. Consequentemente, em relação ao ombro do implante, a mucosa peri-implantar será estabelecida em um nível mais apical, se a distância entre a superfície do implante e o contorno externo da crista óssea alveolar for menor
Aim: the aim of the present experiment was to study the influence of implant installation into sockets immediately after tooth extraction on the healing periimplant tissues with implants of various configurations. Material & methods: Transmucosal cylindrical 3.3mm in diameter implants in the control sites, and conical 5.0mm in diameter in the test sites, were installed into the distal socket of the forth mandibular premolars in dogs immediately after tooth extraction. After 4 months, the hard and soft tissue healing was evaluated histologically. Results: All implants were integrated in mineralized mature bone. Both at the test and control sites, the alveolar crest underwent resorption. The buccal bony surface at the implant of the test sites (conical; 3.6mm) was more resorbed compared to the control sites (cylindrical; 1.6mm). The soft tissue dimensions were similar in both groups. However, in relation to the implant shoulder, the periimplant mucosa was located more apically at the test compared to the control sites. Conclusion: The present study confirmed that the distance between the implant surface and the outer contour of the buccal alveolar bony crest influenced the degree of resorption of the buccal bone plate. Consequently, in relation to the implant shoulder, the peri-implant mucosa will be established at a more apical level if the distance between the implant surface and the outer contour of the alveolar crest is small
Assuntos
Animais , Cães , Regeneração Óssea , Implantação Dentária , Carga Imediata em Implante Dentário , Cirurgia Bucal , CãesRESUMO
AIM: To compare the remodeling of the alveolar process at implants installed immediately into extraction sockets by applying a flap or a "flapless" surgical approach in a dog model. MATERIAL AND METHODS: Implants were installed immediately into the distal alveoli of the second mandibular premolars of six Labrador dogs. In one side of the mandible, a full-thickness mucoperiosteal flap was elevated (control site), while contra-laterally, the mucosa was gently dislocated, but not elevated (test site) to disclose the alveolar crest. After 4 months of healing, the animals were sacrificed, ground sections were obtained and a histomorphometric analysis was performed. RESULTS: After 4 months of healing, all implants were integrated (n=6). Both at the test and at the control sites, bone resorption occurred with similar outcomes. The buccal bony crest resorption was 1.7 and 1.5 mm at the control and the test sites, respectively. CONCLUSIONS: "Flapless" implant placement into extraction sockets did not result in the prevention of alveolar bone resorption and did not affect the dimensional changes of the alveolar process following tooth extraction when compared with the usual placement of implants raising mucoperiosteal flaps.
Assuntos
Processo Alveolar/cirurgia , Implantação Dentária Endóssea/métodos , Retalhos Cirúrgicos , Alvéolo Dental/cirurgia , Animais , Tecido Conjuntivo/anatomia & histologia , Dente Suporte , Implantes Dentários , Cães , Inserção Epitelial/anatomia & histologia , Gengiva/anatomia & histologia , FotomicrografiaRESUMO
AIM: To evaluate the influence of resorbable membranes on hard tissue alterations and osseointegration at implants placed into extraction sockets in a dog model. MATERIAL AND METHODS: In the mandibular premolar region, implants were installed immediately into the extraction sockets of six Labrador dogs. Collagen-resorbable membranes were placed at the test sites, while the control sites were left uncovered. Implants were intended to heal in a submerged mode. After 4 months of healing, the animals were sacrificed, and ground sections were obtained for histomorphometric evaluation. RESULTS: After 4 months of healing, a control implant was not integrated (n=5). Both at the test and at the control sites, bone resorption occurred. While the most coronal bone-to-implant contact was similar between the test and the control sites, the alveolar bone crest outline was maintained to a higher degree at the buccal aspect of the test sites (loss: 1.7 mm) compared with the control sites (loss: 2.2 mm). CONCLUSIONS: The use of collagen-resorbable membranes at implants immediately placed into extraction sockets contributed to a partial (23%) preservation of the buccal outline of the alveolar process.
Assuntos
Implantes Absorvíveis , Colágeno , Implantes Dentários , Mandíbula/cirurgia , Membranas Artificiais , Alvéolo Dental/cirurgia , Perda do Osso Alveolar/classificação , Perda do Osso Alveolar/patologia , Processo Alveolar/patologia , Animais , Materiais Biocompatíveis , Implantação Dentária Endóssea , Materiais Dentários/química , Planejamento de Prótese Dentária , Cães , Mandíbula/patologia , Modelos Animais , Osseointegração/fisiologia , Retalhos Cirúrgicos , Deiscência da Ferida Operatória/etiologia , Titânio/química , Alvéolo Dental/patologia , Cicatrização/fisiologia , Zircônio/químicaRESUMO
OBJECTIVES: To evaluate the influence of implant size and configuration on osseointegration in implants immediately placed into extraction sockets. MATERIAL AND METHODS: Implants were installed immediately into extraction sockets in the mandibles of six Labrador dogs. In the control sites, cylindrical transmucosal implants (3.3 mm diameter) were installed, while in the test sites, larger and conical (root formed, 5 mm diameter) implants were installed. After 4 months of healing, the resorptive patterns of the alveolar crest were evaluated histomorphometrically. RESULTS: With one exception, all implants were integrated in mineralized bone, mainly composed of mature lamellar bone. The alveolar crest underwent resorption at the control as well as at the test implants. This resorption was more pronounced at the buccal aspects and significantly greater at the test (2.7+/-0.4 mm) than at the control implants (1.5+/-0.6 mm). However, the control implants were associated with residual defects that were deeper at the lingual than at the buccal aspects, while these defects were virtually absent at test implants. CONCLUSIONS: The installment of root formed wide implants immediately into extraction sockets will not prevent the resorption of the alveolar crest. In contrast, this resorption is more marked both at the buccal and lingual aspects of root formed wide than at standard cylindrical implants.
Assuntos
Implantação Dentária Endóssea/métodos , Implantes Dentários , Planejamento de Prótese Dentária , Osteogênese/fisiologia , Extração Dentária , Alvéolo Dental/cirurgia , Perda do Osso Alveolar/classificação , Perda do Osso Alveolar/patologia , Animais , Dente Pré-Molar/cirurgia , Calcificação Fisiológica/fisiologia , Dente Suporte , Materiais Dentários/química , Cães , Mandíbula/patologia , Mandíbula/cirurgia , Modelos Animais , Osseointegração/fisiologia , Propriedades de Superfície , Fatores de Tempo , Titânio/química , Alvéolo Dental/patologia , Cicatrização/fisiologiaRESUMO
AIM: To evaluate the influence of implant positioning into extraction sockets on osseointegration. MATERIAL AND METHODS: Implants were installed immediately into extraction sockets in the mandibles of six Labrador dogs. In the control sites, the implants were positioned in the center of the alveolus, while in the test sites, the implants were positioned 0.8 mm deeper and more lingually. After 4 months of healing, the resorptive patterns of the alveolar crest were evaluated histomorphometrically. RESULTS: All implants were integrated in mineralized bone, mainly composed of mature lamellar bone. The alveolar crest underwent resorption at the control as well as at the test sites. After 4 months of healing, at the buccal aspects of the control and test sites, the location of the implant rough/smooth limit to the alveolar crest was 2 + or - 0.9 mm and 0.6 + or - 0.9 mm, respectively (P<0.05). At the lingual aspect, the bony crest was located 0.4 mm apically and 0.2 mm coronally to the implant rough/smooth limit at the control and test sites, respectively (NS). CONCLUSIONS: From a clinical point of view, implants installed into extraction sockets should be positioned approximately 1 mm deeper than the level of the buccal alveolar crest and in a lingual position in relation to the center of the alveolus in order to reduce or eliminate the exposure above the alveolar crest of the endosseous (rough) portion of the implant.