Molar replacement technique

André Hattingh

12th March 2018

Techniques for implant placement in molar sockets

Immediate Placement of Ultrawide-Diameter Implants in Molar Sockets: Description of a Recommended Technique.
Hattingh AC, De Bruyn H, Ackermann A, Vandeweghe S.
Int J Periodontics Restorative Dent. 2018 Jan/Feb;38(1):17-23. doi: 10.11607/prd.3433.


This article describes a technique we use to enable the placement of a dental implant at the time of tooth removal.  This is a formal peer reviewed article which we published in collaboration with Ghent University and Dr Andrew Ackermann.


Immediate implant placement is performed less frequently in molar extraction sockets than in single root sockets. This is mainly due to the tripodal anatomical configuration of molar roots, which is perceived as complex and therefore unsuitable. The mechanical burden of molar sites, combined with much larger socket dimensions, make it amenable to the use of ultra-wide diameter dental implants. This article describes a practical, sequenced technique that can be used predictably for immediate implant placement in maxillary and mandibular first molar sockets, using a dry skull model for clarification. This detailed description is based on the experience of more than 580 clinical cases over a 10-year period.

Mentioned services and treatments