6th Edition of International Conference on Dentistry
and Oral Health

August 11-13, 2022

August 11-13, 2022 | Online Event
ICDO 2020

Immediate approaches for the failing tooth

Sergio Charifker, Speaker at Dental Conferences
SOEPE, Brazil
Title: Immediate approaches for the failing tooth


The Prosthetic rehabilitation has evolved since the introduction of implant therapy. The implant protocol has changed through time, mostly because of the confidence in the new screw’s surfaces, some allowing osseointegration after 21 days and biomaterial in special deproteinized bovine bone grafts with slowly resorption and different graft particles sizes, increasing the application. We can’t believe, nowadays, in literatures that presents range near 99% of success in implant therapy and that is why, a question needs to be answered: Does it shows the clinical reality when we think about aesthetic results? In fact, there is now plenty of high-quality results (that´s the excellence dentistry era) associated with less time rehabilitation and less interventions (minimally invasive treatments), less manipulation with the patient, choosing tissues substitutes instead of autogenous bone. The most traumatic situation, that has significant psychological impact, is the failure of a tooth, mainly the anterior one. The rehabilitation of these cases can be accelerated and solved in one-time procedure, extracting the root, putting implant in position, filling the gap with bone substitutes and provisionalizing the prosthetic crown. While the posterior tooth doesn’t need to have a provisional crown installed, because of the low aesthetic necessity, the space maintain and gingival architecture can be provided by personal healing cap, on the other hand, single appointment with the installation of provisional prosthetic crown is useful principally at the anterior maxillary teeth. Having said that, any tooth can be replaced by immediate implant after extraction, following rigid protocol as installing the screw inside the bone triangle, grafting when it is needed, both soft and hard tissue, respecting distances between implant/tooth and implant/implant, buccal/lingual position and depth. The natural tooth crown can be prepared and used as a temporary prosthesis with good biological results.


Dr. Sergio Charifker Studied Dentistry at the Federal University of Pernambuco, Brazil and graduated in 2003. In 2004 finished his first specialization course, Surgical Anatomy of the Face. Concluded the post-graduation in Oral and Maxillofacial surgery in 2008 and became oral and maxillofacial surgeon in the Brazilian Air Force. Today as a staff member at the trauma hospital in Campina Grande, which coordinates the maxillofacial team and residence preceptor. Received the master’s degree in implantology in 2018 by studying the response of bone substitute in the grafted sinus. Since 2017 presents lectures in implantology area, and offers improvement course at SOEPE, in Recife. Member of the Board of Professors in the Master Program at Unyleya - IODONTO.