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Immediate Loading of a Dental Implant Placed in Fresh Socket With Acute Dehiscence‐Type Defect: A Clinical Case Report
Author(s) -
Villa Roberto,
Crespi Roberto,
Capparè Paolo,
Gherlone Enrico
Publication year - 2010
Publication title -
journal of periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.036
H-Index - 156
eISSN - 1943-3670
pISSN - 0022-3492
DOI - 10.1902/jop.2010.090749
Subject(s) - medicine , dehiscence , buccal administration , dentistry , crown (dentistry) , implant , abutment , wound dehiscence , osseointegration , dental alveolus , surgery , civil engineering , engineering
Background: The aim of the present clinical case is to show buccal bone repair around a dental implant placed by flapless technique and immediately loaded in fresh socket with acute buccal dehiscence‐type defect. Methods: A 58‐year‐old female presented with a fistula on the buccal side and a root fracture at the left lateral incisive. The dental extraction was performed without mucogingival flap elevation; the absence of buccal bone plate was recorded. A screw‐shaped implant was placed. Immediately after the surgical procedure, the patient received temporary prosthetic restoration, and 3 months later definitive metal‐ceramic restoration was positioned. Results: Four years later, a fracture of the crown and gingival inflammatory process were observed. The crown was removed and a fracture of the zirconia abutment was reported. Surgical reentry was performed, gingival flap was raised, and buccal bone repair was observed. Conclusion: Biologically, it is very difficult to explain the bone repair process around implants in the acute dehiscence‐type defect, and only biologic speculations explain the outcome of this clinical result.