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Immediate implants placed into infected sockets: a case report with 3-year follow-up
Marina de Melo Naves1, Bruna Zacharias Horbylon, Camila de Freitas Gomes
1Department of Periodontology and Implantology, HD Postgraduate Dental Education Center, Uberlândia, MG, Brazil.
Brazilian Dental Journal
|September 29, 2009
Summary
Immediate implants combined with guided bone regeneration offer a viable solution for replacing anterior maxilla teeth lost to chronic periapical lesions. This approach maintains periodontal architecture and achieves satisfactory esthetic and functional outcomes after three years.
Area of Science:
- Dentistry
- Oral Surgery
- Periodontology
Background:
- Dental loss compromises periodontal esthetics and function.
- Immediate implants offer anatomic compatibility and contamination control.
- Chronic periapical lesions from endodontic failure necessitate tooth replacement.
Observation:
- This article details immediate implant placement in the anterior maxilla for teeth with chronic periapical lesions.
- Conservative surgical removal preserved anatomy and gingival esthetics.
- Apical access allowed lesion debridement, implant orientation, and bone grafting.
Findings:
- Implants were placed after 6 months, followed by a provisional denture.
- After 3 years, implants demonstrated satisfactory functional and esthetic results.
- Immediate implant placement with guided bone regeneration proved successful.
Implications:
- This procedure may be indicated for replacing teeth lost due to endodontic failure and periapical lesions.
- It offers a solution for maintaining periodontal architecture and esthetics.
- Combines immediate implantology with regenerative techniques for complex cases.