Case Series
Volume 21 Issue 7 - 2022
Reducing Extraction-to-Restoration Time Utilizing a 5-in-1 Technique
C Leon Chen*

Dental Implant Institute, USA
*Corresponding Author: C Leon Chen, Dental Implant Institute, USA.
Received: May 11, 2022; Published: June 28, 2022


Although immediate implant placement and provisionalization is now considered the standard of care and preferred patient option for transitioning from edentulism or hopeless teeth to implant rehabilitation, several clinical factors and patient characteristics can contraindicate this solution. As a result, it is still frequently necessary for clinicians to undertake-and for patients to endure-the multiple procedures associated with conventional implant therapies. Given the multiple surgeries, appointments, potential risks for complications, and length of extraction-to-restoration time (ERT) associated with conventional implant placement and restoration protocol, a more streamlined procedure is necessary. Fortunately, the 5-in-1 technique represents a clinically efficient and predictable method for performing extractions, immediately placing implants, undertaking immediate sinus lifts when necessary, completing bone grafting, and placing a healing abutment and/or provisional restoration, all in one surgical appointment. This article describes the 5-in-1 Technique and how the protocol enhances the predictability and efficiency of providing patients with optimal, single-appointment implant treatments that significantly reduce ERT.

Keywords: Extraction-to-Restoration Time (ERT); 5-in-1 Technique; Dental Implants


  1. Mahesh L., et al. “Preserving the buccal plate with a novel bone graft material for immediate implants in the esthetic zone”. Journal of Implant and Advanced Clinical Dentistry 3 (2019): 6-12.
  2. Checchi V., et al. “Clinical classification of bone augmentation procedure failures in the atrophic anterior maxillae: esthetic consequences and treatment options”. BioMed Research International (2019): 4386709.
  3. Cordaro L., et al. “Inlay-onlay grafting for three-dimensional reconstruction of the posterior atrophic maxilla with mandibular bone”. International Journal of Oral and Maxillofacial Surgery4 (2010): 350-357.
  4. Chiapasco M and Zaniboni M. “Failures in jaw reconstructive surgery with autogenous onlay bone grafts for pre-implant purposes: incidence, prevention and management of complications”. Oral and Maxillofacial Surgery Clinics of North America1 (2011): 1-15.
  5. Sbordone L., et al. “Volume changes of autogenous bone grafts after alveolar ridge augmentation of atrophic maxillae and mandibles”. International Journal of Oral and Maxillofacial Surgery10 (2009): 1059-1065.
  6. Barone A., et al. “Deep-frozen allogeneic onlay bone grafts for reconstruction of atrophic maxillary alveolar ridges: a preliminary study”. Journal of Oral and Maxillofacial Surgery6 (2009): 1300-1306.
  7. Ardekian L., et al. “Acute sinusitis and implant failure following novel minimally invasive hydraulic sinus lift: a case report”. Clinics in Surgery 3 (2018): 1882.
  8. Chen L and Cha J. “An 8-year retrospective study: 1,100 patients receiving 1,557 implants using the minimally invasive hydraulic sinus condensing technique”. Journal of Periodontology 3 (2005): 482-491.
  9. Chen L., et al. “Sinus perforation: treatment and classifications”. The Journal of Implant and Advanced Clinical Dentistry1 (2011): 19-30.
  10. Chen L and Cha J. “Dental implant migration into two different maxillary sinus cavities”. The Journal of Implant and Advanced Clinical Dentistry4 (2011): 21-25.
  11. Stern A and Green J. “Sinus lifts procedures: an overview of current techniques”. Dental Clinics of North America 1 (2012): 219-233.
  12. Chen L and Cha J. “Achieving predictable hydraulic sinus condensing using an innovative functional sinus implant: a case report”. Compendium of Continuing Education in Dentistry 5 (2020): 278-283.
  13. Degidi M., et al. “Buccal bone plate in the immediately placed and restored maxillary single implant: a 7-year retrospective study using computed tomography”. Implant Dentistry 1 (2012): 62-66.
  14. Clementini M., et al. “Dimensional changes after immediate implant placement with or without simultaneous regenerative procedures: a systematic review and meta-analysis”. Journal of Clinical Periodontology 7 (2015): 666-677.
  15. Chen L and Cha J. “Osseofuse One Drill System: a 6-year retrospective follow-up of over 250 implants”. Journal of Implant and Advanced Clinical Dentistry 6 (2017): 6-15.
  16. Chen L., et al. “Two different clinical indications using hydraulic sinus condensing (HSC) technique: ten years follow-up”. Dental Implantology Update 5 (2009): 33-38.
  17. Chen L. “Correcting maxillary sinus deficiencies”. Dental Implantology Update 10 (2008): 65-70.
  18. Li J., et al. “Piezoelectric surgery in maxillary sinus floor elevation with hydraulic pressure for xenograft and simultaneous implant placement”. Journal of Prosthetic Dentistry 5 (2013): 344-348.
  19. Kim YK., et al. “Assessment of dentists' subjective satisfaction with a newly developed device for maxillary sinus membrane elevation by the crestal approach”. Journal of Periodontal and Implant Science 6 (2013): 308-314.
  20. Gatti F., et al. “Maxillary sinus membrane elevation using a special drilling system and hydraulic pressure: A 2-year prospective cohort study”. International Journal of Periodontics and Restorative Dentistry 4 (2018): 593-599.
Citation: C Leon Chen. “Reducing Extraction-to-Restoration Time Utilizing a 5-in-1 Technique”. EC Dental Science 21.7 (2022): 83-96.

PubMed Indexed Article

EC Pharmacology and Toxicology
LC-UV-MS and MS/MS Characterize Glutathione Reactivity with Different Isomers (2,2' and 2,4' vs. 4,4') of Methylene Diphenyl-Diisocyanate.

PMID: 31143884 [PubMed]

PMCID: PMC6536005

EC Pharmacology and Toxicology
Alzheimer's Pathogenesis, Metal-Mediated Redox Stress, and Potential Nanotheranostics.

PMID: 31565701 [PubMed]

PMCID: PMC6764777

EC Neurology
Differences in Rate of Cognitive Decline and Caregiver Burden between Alzheimer's Disease and Vascular Dementia: a Retrospective Study.

PMID: 27747317 [PubMed]

PMCID: PMC5065347

EC Pharmacology and Toxicology
Will Blockchain Technology Transform Healthcare and Biomedical Sciences?

PMID: 31460519 [PubMed]

PMCID: PMC6711478

EC Pharmacology and Toxicology
Is it a Prime Time for AI-powered Virtual Drug Screening?

PMID: 30215059 [PubMed]

PMCID: PMC6133253

EC Psychology and Psychiatry
Analysis of Evidence for the Combination of Pro-dopamine Regulator (KB220PAM) and Naltrexone to Prevent Opioid Use Disorder Relapse.

PMID: 30417173 [PubMed]

PMCID: PMC6226033

EC Anaesthesia
Arrest Under Anesthesia - What was the Culprit? A Case Report.

PMID: 30264037 [PubMed]

PMCID: PMC6155992

EC Orthopaedics
Distraction Implantation. A New Technique in Total Joint Arthroplasty and Direct Skeletal Attachment.

PMID: 30198026 [PubMed]

PMCID: PMC6124505

EC Pulmonology and Respiratory Medicine
Prevalence and factors associated with self-reported chronic obstructive pulmonary disease among adults aged 40-79: the National Health and Nutrition Examination Survey (NHANES) 2007-2012.

PMID: 30294723 [PubMed]

PMCID: PMC6169793

EC Dental Science
Important Dental Fiber-Reinforced Composite Molding Compound Breakthroughs

PMID: 29285526 [PubMed]

PMCID: PMC5743211

EC Microbiology
Prevalence of Intestinal Parasites Among HIV Infected and HIV Uninfected Patients Treated at the 1o De Maio Health Centre in Maputo, Mozambique

PMID: 29911204 [PubMed]

PMCID: PMC5999047

EC Microbiology
Macrophages and the Viral Dissemination Super Highway

PMID: 26949751 [PubMed]

PMCID: PMC4774560

EC Microbiology
The Microbiome, Antibiotics, and Health of the Pediatric Population.

PMID: 27390782 [PubMed]

PMCID: PMC4933318

EC Microbiology
Reactive Oxygen Species in HIV Infection

PMID: 28580453 [PubMed]

PMCID: PMC5450819

EC Microbiology
A Review of the CD4 T Cell Contribution to Lung Infection, Inflammation and Repair with a Focus on Wheeze and Asthma in the Pediatric Population

PMID: 26280024 [PubMed]

PMCID: PMC4533840

EC Neurology
Identifying Key Symptoms Differentiating Myalgic Encephalomyelitis and Chronic Fatigue Syndrome from Multiple Sclerosis

PMID: 28066845 [PubMed]

PMCID: PMC5214344

EC Pharmacology and Toxicology
Paradigm Shift is the Normal State of Pharmacology

PMID: 28936490 [PubMed]

PMCID: PMC5604476

EC Neurology
Examining those Meeting IOM Criteria Versus IOM Plus Fibromyalgia

PMID: 28713879 [PubMed]

PMCID: PMC5510658

EC Neurology
Unilateral Frontosphenoid Craniosynostosis: Case Report and a Review of the Literature

PMID: 28133641 [PubMed]

PMCID: PMC5267489

EC Ophthalmology
OCT-Angiography for Non-Invasive Monitoring of Neuronal and Vascular Structure in Mouse Retina: Implication for Characterization of Retinal Neurovascular Coupling

PMID: 29333536 [PubMed]

PMCID: PMC5766278

EC Neurology
Longer Duration of Downslope Treadmill Walking Induces Depression of H-Reflexes Measured during Standing and Walking.

PMID: 31032493 [PubMed]

PMCID: PMC6483108

EC Microbiology
Onchocerciasis in Mozambique: An Unknown Condition for Health Professionals.

PMID: 30957099 [PubMed]

PMCID: PMC6448571

EC Nutrition
Food Insecurity among Households with and without Podoconiosis in East and West Gojjam, Ethiopia.

PMID: 30101228 [PubMed]

PMCID: PMC6086333

EC Ophthalmology
REVIEW. +2 to +3 D. Reading Glasses to Prevent Myopia.

PMID: 31080964 [PubMed]

PMCID: PMC6508883

EC Gynaecology
Biomechanical Mapping of the Female Pelvic Floor: Uterine Prolapse Versus Normal Conditions.

PMID: 31093608 [PubMed]

PMCID: PMC6513001

EC Dental Science
Fiber-Reinforced Composites: A Breakthrough in Practical Clinical Applications with Advanced Wear Resistance for Dental Materials.

PMID: 31552397 [PubMed]

PMCID: PMC6758937

EC Microbiology
Neurocysticercosis in Child Bearing Women: An Overlooked Condition in Mozambique and a Potentially Missed Diagnosis in Women Presenting with Eclampsia.

PMID: 31681909 [PubMed]

PMCID: PMC6824723

EC Microbiology
Molecular Detection of Leptospira spp. in Rodents Trapped in the Mozambique Island City, Nampula Province, Mozambique.

PMID: 31681910 [PubMed]

PMCID: PMC6824726

EC Neurology
Endoplasmic Reticulum-Mitochondrial Cross-Talk in Neurodegenerative and Eye Diseases.

PMID: 31528859 [PubMed]

PMCID: PMC6746603

EC Psychology and Psychiatry
Can Chronic Consumption of Caffeine by Increasing D2/D3 Receptors Offer Benefit to Carriers of the DRD2 A1 Allele in Cocaine Abuse?

PMID: 31276119 [PubMed]

PMCID: PMC6604646

EC Anaesthesia
Real Time Locating Systems and sustainability of Perioperative Efficiency of Anesthesiologists.

PMID: 31406965 [PubMed]

PMCID: PMC6690616

EC Pharmacology and Toxicology
A Pilot STEM Curriculum Designed to Teach High School Students Concepts in Biochemical Engineering and Pharmacology.

PMID: 31517314 [PubMed]

PMCID: PMC6741290

EC Pharmacology and Toxicology
Toxic Mechanisms Underlying Motor Activity Changes Induced by a Mixture of Lead, Arsenic and Manganese.

PMID: 31633124 [PubMed]

PMCID: PMC6800226

EC Neurology
Research Volunteers' Attitudes Toward Chronic Fatigue Syndrome and Myalgic Encephalomyelitis.

PMID: 29662969 [PubMed]

PMCID: PMC5898812

EC Pharmacology and Toxicology
Hyperbaric Oxygen Therapy for Alzheimer's Disease.

PMID: 30215058 [PubMed]

PMCID: PMC6133268

News and Events

September Issue Release

We always feel pleasure to share our updates with you all. Here, notifying you that we have successfully released the September issue of respective journals and the latest articles can be viewed on the current issue pages.

Submission Deadline for Upcoming Issue

ECronicon delightfully welcomes all the authors around the globe for effective collaboration with an article submission for the upcoming issue of respective journals. Submissions are accepted on/before October 14, 2022.

Certificate of Publication

ECronicon honors with a "Publication Certificate" to the corresponding author by including the names of co-authors as a token of appreciation for publishing the work with our respective journals.

Best Article of the Issue

Editors of respective journals will always be very much interested in electing one Best Article after each issue release. The authors of the selected article will be honored with a "Best Article of the Issue" certificate.

Certifying for Review

ECronicon certifies the Editors for their first review done towards the assigned article of the respective journals.

Latest Articles

The latest articles will be updated immediately on the articles in press page of the respective journals.