- Discover how immediacy protocols align with long-term peri-implant health.
- Explore the interplay between surgical, prosthetic, and orthodontic strategies.
- Learn the value of interdisciplinary collaboration in implant dentistry.
France Lambert
The importance of healthy peri-implant tissue for long-term treatment success.
Frank Schwarz
Immediate implant placement. Evidence-based and clinically proven in everyday clinical practice.
Miha Pirc
Factors influencing stability of peri-implant tissues.
Jasper Thoolen
Multidisciplinary approach in immediacy – focus on orthodontics.
A presentation held May 15, 2025, at the Europerio in Vienna, Austria. Watch also our other presentations:
Topic: The domain of immediate implantology stands at the forefront of enhancing clinical efficacy and procedural efficiency in dental practices. Therefore, this symposium will explore the essential features of the Straumann® iExcel™ Implant System and emphasize the importance of simplicity and versatility for daily dental practice. It will highlight how the design of an implant system — including implant macrotopography, material, and surface — can significantly help practitioners to protect patients’ hard and soft tissues. Renowned speakers will share their insights on how iExcel™ system components enhance procedural efficiency and ensure patient well-being. Attendees will gain a comprehensive understanding of how the selection of an appropriate implant system can facilitate both practice efficiency and patient satisfaction.
Digest
Immediacy meets longevity: Rethinking peri-implant health
The importance of addressing peri-implant health within immediate implant protocols is underlined. Professor France Lambert, session moderator and expert in periodontology, emphasized that long-term stability and peri-implant health should not be compromised for the sake of treatment speed. Both speakers agree that immediate implant placement must go hand-in-hand with robust clinical protocols and preventive strategies. They highlighted the necessity of integrating long-term planning, including product design and clinician education, to maintain tissue stability and avoid peri-implantitis.
Evidence-based protocols and clinical decision-making in immediacy
Professor Frank Schwarz detailed his Frankfurt Institute’s comprehensive approach to immediacy, focusing on case selection, bone anatomy, soft tissue conditions, and implant design as key factors. He shared that while immediacy offers esthetic and volume preservation advantages, it demands precision and discipline. Clinical tools such as guided surgery, CBCT imaging, and atraumatic extraction instruments are crucial. His team achieves success by following a well-documented protocol that includes bone grafting, immediate loading only with sufficient primary stability, and the one-abutment-one-time concept. Clinical outcomes remain stable over time, provided there is careful attention to tissue thickness and occlusal forces.
Soft tissue management and interdisciplinary strategies for long-term success
Drs. Miha Pirc and Jesper Thoolen added critical dimensions to the forum. Pirc focused on the biological behavior of peri-implant soft tissues, emphasizing the necessity of adequate thickness and the importance of personalized prosthetic emergence profiles. Using cases involving trauma and recession coverage, he showcased how precise surgical and prosthetic handling ensures long-term esthetics. Thoolen then showcased how orthodontics improves implant planning. By employing digital tools like the DSD protocol and SmileCloud, his team optimizes interdisciplinary workflows between orthodontists, implantologists, and prosthodontists. His message: backward planning and digital integration enable more predictable, minimally invasive treatments with improved patient satisfaction.
Key takeaways
- Immediacy and peri-implant health are not mutually exclusive—they must be planned together.
- Implant success depends on case-specific planning, primary stability, soft tissue management, and guided prosthetic workflows.
- Interdisciplinary collaboration, driven by digital tools, enhances predictability and esthetic outcomes.