13 year immediate load #9 implant from my recent @ispps_perioplasticsurgeons “Perio Ted Talk” with @drphilwalton debating the use of CTG with immediate implants. 🤺 My position, backed up by multiple meta analyses, studies and reviews is: If you ALWAYS use a CTG with your immediate implant procedures you will NEVER be disappointed. 👍🏼 Why? The references cited here show that the ideal approach to immediate implant placement in the esthetic zone is: 👉🏼 Flapless extraction 👉🏼 Bone graft in the HDD 👉🏼 Provisional crown or custom healing cap 👉🏼 Connective tissue graft (CTG) The key 🔑 is the CTG because: ✅ Less recession ✅ More tissue thickness ✅ Less bone loss ✅ Higher pink esthetic scores 💖 ✅ CTG is a protective factor for PSTDs What’s not to love? 😘 Restorative work by: Dr. Rob Loughlin, Alamo Prosthodontics, San Antonio TX 🏆 ——————————————- Join the largest evidence-based dental implant community in the world - 26,000 members and growing!!! www.iti.org 🌎 Registration is OPEN for ITI Congress USA in Napa Valley, CA April 23-26, 2026!!! 🍷 #theITIisUS 🇺🇸 ——————————————- #dentalimplants #periodontics #dentalimplantaesthetics #dentalimplantesthetics #implantesthetics #ERA #estheticriskassessment #implantdentistry #oralplasticsurgery #periodontium #periodontalplasticsurgery #connectivetissuegraft #CTG #smiledesign #dentalspecialists #teamapproach #internationalteamforimplantology #iti #itiworld #itifamily #implantperioarts🎨