Immediate implants placed into infected sockets: a case report with 3-year follow-up.
The esthetics and functional integrity of the periodontal tissue may be compromised by dental loss. Immediate implants became a viable option to maintain the periodontal architecture because of their anatomic compatibility with the dental socket and the possibility of eliminating local contamination. This article describes the procedure of immediate implant placement in the anterior maxilla replacing teeth with chronic periapical lesions, which were condemned due to endodontic lesions persisting after failed endodontic treatment and endodontic surgery, and discusses the relationship between the procedure and periapical lesions. Surgical removal of hopeless teeth 11, 12 and 21 was performed conservatively in such a way to preserve the anatomy and gingival esthetics. A second surgical access was gained at the apical level, allowing the debridement of the surgical chamber for elimination of the periapical lesion, visual orientation for setting of the implants and filling of the surgical chamber with xenogenous bovine bone graft. After this procedure, the bone chamber was covered with an absorbent membrane and the healing screws were positioned on the implants. Later, a provisional partial removable denture was installed and the implants were inserted after 6 months. After 3 years of rehabilitation, the implants present satisfactory functional and esthetic conditions, suggesting that immediate implant placement combined with guided bone regeneration may be indicated for replacing teeth lost due to chronic periapical lesions with endodontic failure history in the anterior maxilla.
Department of Periodontology and Implantology, HD Postgraduate Dental Education Center, Uberlândia, MG, Brazil.
Marina de Melo
MM
Naves
Bruna Zacharias
BZ
Horbylon
Camila de Freitas
CF
Gomes
Helder Henrique Machado de
HH
Menezes
César
C
Bataglion
Denildo de
Dd
Magalhães
D000328:Adult; D000818:Animals; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001857:Bone Matrix; D016025:Bone Transplantation; D002417:Cattle; D002908:Chronic Disease; D003442:Crowns; D003758:Dental Implantation, Endosseous / Q000379:methods*; D019250:Dental Implants, Single-Tooth; D019232:Dental Restoration Failure; D003793:Dental Restoration, Permanent / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007180:Incisor / Q000473:pathology / Q000601:surgery; D008437:Maxilla; D010482:Periapical Abscess / Q000150:complications* / Q000188:drug therapy / Q000473:pathology / Q000601:surgery; D012086:Reoperation; D012390:Root Canal Therapy; D020390:Tooth Socket / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents