Straumann® ProTalk

Clinical edition: Technique over timing in posterior immediate implants with Dr. Algirdas Puisys


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In this special Straumann ProTalk Clinical episode from the International Aesthetic Days in Portugal, Dr. Algirdas Puisys explains how he defines success in posterior immediate implants - targeting a 30° emergence profile and treating 45° as a critical limit.

He shares his "aha" moment that immediate implant risk depends more on technique than timing, reflects on early mistakes with oversized implants, and discusses today's priorities: digital workflows, soft-tissue-first thinking, and conservative peri-implantitis management.

Learn more from Dr. Algirdas Puisys at AlgirdasPuisys.com.

00:00 Why immediate implants succeed (technique over timing)

00:53 Emergence profile control: 30° target vs 45° danger zone

03:31 Digital-first planning: restoration-driven 3D positioning

06:21 Healing abutment strategy: common mistakes and better options

07:52 Clinical workflow: fractured tooth to immediate implant

14:58 Evidence and evolution: technique sensitivity & digital dentistry

20:14 Clinical pearls: implant sizing, soft-tissue-first thinking & peri-implantitis

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Straumann® ProTalkBy Andreas Utz & George Raeber