**5.1 Immediate dental implant placement after tooth extraction: single-phase approach**

If the extraction of a multi-rooted tooth was atraumatic—that is, with preservation of the interradicular septum—it is possible to place an implant altogether with empty alveoli augmentation. An example is shown in **Figure 10**. In this patient, there was an indication to extract the first mandibular molar tooth. Immediately after the atraumatic extraction, an implant was placed in the intact

#### **Figure 8.** *Phlebotomy equipment. (A) Esmarch's tourniquet. (B) Safety butterfly blood collection needle with holder.*

**Figure 9.** *Basic PRF kit.*

#### **Figure 10.**

*Implant placement immediately after tooth extraction. (A) Tooth indicated for extraction. (B) Implant placed into inter-radicular septum. (C) PRF membrane. (D) A mixture of PRF membrane cut into pieces and bone substitute. (E) Grafting the empty alveolar socket. (F) PRF membranes adapted over graft. (G) OPG view of inserted implant (H) final prosthetics—screw-retained crown.*

interradicular septum. The empty alveoli were augmented by a mixture of bone graft and PRF membrane pieces. As a bone replacement, Novocor plus bone was used. It is a natural bone grafting material consisting of natural coral granules—Madreporic Coral consisting of 98% aragonite calcium carbonate. A PRF membrane covering the structure was placed. This was followed by positioning of the apical mattress stitch and a primary suturing of the elongated flap. After an osteointegration period, the patient was readmitted for a prosthetic procedure that entailed screw-retained crown placement.
