New Surgical Technique



The next IDR Course date will be: October 24 - 27, 2022


Or to be added to the waitinglist and to be informed about the price, accommodation and all other details, please contact: This email address is being protected from spambots. You need JavaScript enabled to view it.


Immediately loaded implants in compromised sockets 


The course will be lectured by Dr Jose Carlos Martins da Rosa.



Single-tooth replacement in the esthetic zone has been one of the most common indications for dental implant placement. Compromised teeth are removed using atraumatic principles and immediately replaced by an implant-supported provisional restoration, with excellent esthetic, biological, and functional results.

However, in cases of compromised sites with bone loss/gingival recessions, the clinical scenario presents a different dilemma. Until now, all developed surgical recommendations required long-term treatment with possible undesirable complications in the tissue architecture.

The Immediate Dentoalveolar Restoration (IDR) is a surgical and prosthetical technique established to broaden indications for immediate loading on individual teeth. In this way, tissue losses with varied extensions are reconstructed in the same surgical session of implant placement and provisional crown installation, reducing the number of interventions and keeping predictability on esthetic aspects. The IDR protocol was developed more than 12 years ago from the need to minimize the treatment time and morbidity of reconstructive procedures used in these cases.

In the course we discuss the scientific basis, the step-by-step technique and indications. The IDR technique, which advocates minimally invasive surgery, flapless procedures, is presented as a viable and reproducible alternative.

Several clinical cases are presented, which showed one or more compromised socket walls of the tooth involved, with or without changes of the gingival margin, some with more than 12 years of clinical, radiographic and CT scan follow-up.



1) Presentation of the Immediate Dentoalveolar Restoration technique - IDR

2) Literature review of post-extraction socket

3) Biology of Immediate Dentoalveolar Restoration

4) Current trends in post-extraction socket

5) Diagnosis and indications of the IDR technique for compromised sockets

6) Classification of alveolar bone defects

7) Protocol for selection of implant diameter in post extraction sites - A new approach

8) IDR protocol using cortico-cancellous graft

9) Maxillary tuberosity as the main donor area of hard and soft tissue grafts

10) Making the ideal temporary restoration

11) Zirconia customized abutments - Biology and Predictability

12) Advantages of using platform switching implants

13) Application of the IDR technique in anterior and posterior regions

14) IDR protocol of reconstruction of two or more bone walls

15) IDR protocol of triple graft

16) Application of the IDR technique in periodontally compromised patients

17) Osseodensification - A new concept in bone site preparation

18) Complications: How to avoid them and how to solve them

19) Discussion

20) Hands-on - Compromised Socket (Cortico-cancellous Graft)

21) Hands-on - Compromised Socket (Triple Graft)


To be informed about the prices, accommodation and all details please contact: Levi Bernath, This email address is being protected from spambots. You need JavaScript enabled to view it.


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The language of the course is English.