Last Updated on 04/01/2525 at 7:29am
10 Keys Checklist for Immediate Implant Placement at Maxillary Incisor Sites
Presented by Robert Levine, DDS | Hosted by the Academy of Osseointegration (AO)
Table of Contents
Course Overview
This engaging and clinically rich presentation introduces 10 critical steps for achieving successful immediate implant placement in the maxillary central incisor region. Dr. Robert Levine presents a methodical approach using his “10 Keys” checklist — a protocol proven to minimize esthetic failures in the anterior maxilla. The course underscores the need for interdisciplinary teamwork and emphasizes the irreversible consequences of poor outcomes in this highly esthetic zone.
Learning Objectives
- Understand how “human factors” and the absence of structured checklists contribute to procedural complications.
- Apply the “10 Keys” checklist across diagnostic, surgical, and prosthetic phases to reduce esthetic risk.
- Recognize the importance of phenotype modification through connective tissue grafting and volume-stable materials.
Career Launch Panel Discussion
The webinar opens with a 15-minute expert panel sharing strategies for establishing a successful dental career. The discussion is moderated by Dr. Amerian Sones and includes insights from:
- Gino DeSimone – Practice Management Consultant
- Robert Edwards – Dental CPA
- Dr. Vincent Lizzio – Great Expressions (DSO)
- Dr. Michael Ragan – Dental Attorney
Clinical Insights and Protocols
Immediate implant placement in the anterior maxilla is highly technique-sensitive due to anatomical and esthetic demands. Key techniques and considerations covered in this course include:
- Buccal Bone Thickness: Typically less than 1 mm and highly prone to resorption. Lingualized placement avoids facial pressure.
- Flapless Extraction: Preserves soft and hard tissue structure, maintaining natural contours.
- Lingual Socket Engagement: Stabilizes implants while preserving a ≥ 2 mm distance from the buccal plate.
- Apical Anchoring: Ensures primary stability by anchoring ≥ 3–5 mm beyond the socket apex.
- Angled Abutments: Used to optimize screw channel emergence, essential for esthetics.
- Immediate Provisionalization: Maintains papilla height and gingival architecture without occlusal loading.
Key Considerations for Success
- Avoiding Esthetic Complications: Follow the 10 Keys protocol strictly to ensure predictable, aesthetic outcomes.
- Ideal Case Selection: Indicated for intact sockets with favorable root positioning (SRP Class I).
- 3D Planning: CBCT imaging is crucial to simulate implant position and avoid complications.
- Soft Tissue Management: Phenotype modification with CTG or collagen matrices helps preserve gingival aesthetics.
About Dr. Robert Levine
Dr. Robert A. Levine is a periodontist and global implant educator. He has served over 35 years in private practice at the Pennsylvania Center for Dental Implants and Periodontics. A Diplomate of the American Board of Periodontology and a fellow of multiple international dental societies, Dr. Levine is recognized for his work on avoiding esthetic complications. He founded the “10 Keys Implant-Perio Clinical Research Group” in 2021, collaborating with 17 researchers from nine universities worldwide. His academic roles include teaching at Temple University, UNC Chapel Hill, and University of Illinois, Chicago.
Registration Options
This webinar is free for AO members and $50 for non-members.
CE Credits: 1
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