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Single Tooth Replacement Using Immediately Loaded Basal Implant-Supported Fixed Prosthesis in a Hyperdense Lesion: A
Safiya Hassan1, Prasad Dhadse2, Bhushan P Mundada3
1Department of Periodontics and Implantology, Sharad Pawar Dental College and Hospital, Datta Meghe Institiute of Higher Education and Research, Wardha, IND.
Cureus
|March 20, 2023
Summary
This clinical report presents a patient with condensing osteitis, a periapical lesion. Immediate dental implantation was successfully performed after atraumatic extraction of the affected tooth.
Area of Science:
- Dentistry
- Oral Surgery
- Endodontics
Background:
- Chronic endodontic infections can cause osseous modifications in periapical areas.
- Teeth with periapical infections and poor prognosis are often extracted and replaced with dental implants.
Observation:
- A patient presented with a radiopaque lesion at the root apex of the mandibular right first molar.
- Differential diagnoses included bone- and tissue-borne lesions.
- Condensing osteitis (CO) was diagnosed based on clinical and radiological findings.
Findings:
- The affected tooth (mandibular first molar, tooth 46) was atraumatically extracted under local anesthesia.
- An immediate basal implant was placed in the extraction socket.
- The study investigated the safety and effectiveness of dental implantation near hyperdense lesions.
Implications:
- This case highlights the feasibility of immediate dental implantation in the context of periapical osseous lesions like condensing osteitis.
- It suggests that dental implants can be safely placed in proximity to hyperdense bone lesions, potentially offering a viable treatment option.
- Further investigation into the long-term outcomes of such procedures is warranted.
