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Friday 9:10 - 9:45am

IDR Technique: The Key for Long-Term Success in Compromised Sockets in the Esthetic Zone

Single-tooth replacement in the esthetic zone has been one of the most common indications for dental implant placement. Compromised teeth are removed using atraumatic principles and immediately replaced by an implant-supported provisional restoration, with excellent esthetic, biological, and functional results.

However, in cases of compromised sites with bone loss/gingival recessions, the clinical scenario presents a different dilemma. Until now, all developed surgical recommendations required long-term treatment with possible undesirable complications in the tissue architecture.

The Immediate Dentoalveolar Restoration (IDR) is a technique established to broaden indications for immediate loading on individual teeth. In this way, tissue losses with varied extensions are reconstructed with bone graft harvested from maxillary tuberosity in the same surgical session of tooth extraction, implant placement and provisional crown installation, reducing the number of interventions and keeping predictability on esthetic aspects.

In this lecture, we will discuss the scientific basis, the step-by-step technique, indications, and bone biology of the IDR technique. The IDR technique, which advocates minimally invasive surgery and flapless procedures, is presented as a viable and reproducible alternative.

At the conclusion of this lecture participants will have gained an understanding of:

  1. The concept, bone biology, step-by-step technique, and indications of Immediate Dentoalveolar Restorations (IDR)
  2. The treatment of compromised post-extraction sockets with autogenous bone harvested from maxillary tuberosity
  3. How to improve soft tissue thickness around implants applying IDR technique


José Carlos Martins da Rosa, DDS, MsC, PhD

José Carlos Martins da Rosa, DDS, maintains a private practice focusing on prosthesis, periodontics, and surgical implantology in Caxias do Sul, Brazil. Dr. Rosa completed his Periodontics training at São Paulo Association of Dental Surgeons – APCD – Bauru/SP – Brazil in 1991, and his Prosthodontics training at the Center for Dental Research São Leopoldo Mandic – CPO SLMandic – Campinas/SP – Brazil, 2003. He finished his Master of Science in Prosthodontics at the Center for Dental Research São Leopoldo Mandic – CPO SLMandic – Campinas/SP – Brazil, 2005. He completed his PhD in Oral Implantology at Center for Dental Research São Leopoldo Mandic – CPO SLMandic – Campinas/SP – Brazil, 2013. He is the author of the book entitled Immediate Dentoalveolar Restoration (IDR) - Immediately Loaded Implants in Compromised Sockets launched by Quintessence Publishing in Portuguese, Spanish, English, and Mandarin. Dr. Rosa has published several scientific articles in many journals around the world and given lectures nationally and internationally on periodontal, prosthetic, and surgical implantology procedures. He has been giving lectures overseas on IDR technique for the past 8 years.

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8/2/2018 » 8/4/2018
AAED 43rd Annual Meeting

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