Page 20 - GP Fall 2019

reformation (Figure 21). swelling and possible infection. This
At a recall visit 10 years later an X-ray technique not only increases the amount
of bone the patient retains after extraction,
it increases the amount of keratinized
gingiva, often allowing ‘flap-less’ implant
placement, which greatly limits pain and
morbidity. This also results in an ideal site
for implant placement and ideal esthetics
and function in the final prosthesis, lasting
for the long term.

References
Figure 22. Radiograph of implant 10 years later. 1. Machtei et al., Clin. Oral Impl. Clin Implant
Note minimal bone loss due to abutment not Dent Relat Res. 2019 Feb;21(1):14-20. doi:
being removed after stage 1 surgery. 10.1111/cid.12707. Epub 2018 Dec 28.
(Figure 22) shows no bone loss after initial 2. Avila-Ortiz, G et al., Effect of Alveolar
Ridge Preservation Interventions following
remodeling, and the clinical photographs tooth extraction: A Systematic Review and
at 13 years demonstrate ideal esthetics and Meta-Analysis J Clin Periodontol. 2019 Jan
9. doi: 10.1111/jcpe.13057. [Epub ahead of
print]
3. Bakshi, et al., Changes in Ridge Dimension
with Pontics Immediately Placed at
Extraction Sites: A Pilot Study Int J
Periodontics Restorative Dent. 2018 Jul/
Aug;38(4):541-547. doi: 10.11607/prd.3496.
4. Marconcini, S et al., Clinical Outcomes of
implants placed in ridge-preserved versus
nonpreserved sites: A 4-year randomized
clinical trial. Clin Implant Dent Relat
Res. 2018 Dec;20(6):906-914. doi: 10.1111/
cid.12682. Epub 2018 Oct 11.
Figure 23. Photograph of area 13 years later (2019).

Dr. Spyridon
Condos is an
Associate Professor
at NYU and Assistant
Director of the 3 year
continuing education
implant program
at NYU, where he
has been teaching for over 25 years.
He teaches all aspects of surgical
Figure 24. Photograph of area 13 years later. and prosthetic implant dentistry to
generalists and specialists.
He is a Diplomate of the International
function (Figures 23, 24). Congress of Oral Implantologists, and
a Fellow of the Academy of General
Conclusion Dentistry.
This simple extraction and grafting He received his BA in Biology from
technique is well within the abilities of NYU in 1979 and his DDS from NYUCD
the general practitioner and results in in 1983.
less bone loss, less morbidity, and no He has lectured nationally and
additional invasion or risk to the patient. internationally on topics as diverse
The author has used many different bone as Cosmetics, Occlusion and Surgical
graft/membrane combinations and has Implant Dentistry.
had roughly equal performance between He has published over 25 articles
allograft and synthetic bone, and various and abstracts on a variety of topics and
types of resorbable membranes. Attaining his articles have been translated into
primary closure is not only unnecessary but 5 languages.
is contraindicated as long as the buccal plate He founded study clubs on Occlusion
is intact, since this will limit the amount of and Implant Dentistry.
keratinized gingiva and increase morbidity, He has a private practice in
Manhattan on Central Park West.

www.nysagd.org l Fall 2019 l GP 20