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Case Reports
. 2012 Sep;3(Suppl 2):S219-22.
doi: 10.4103/0976-237X.101099.

Immediate placement of implant in fresh extraction socket with early loading

Archana Singh  1 , Aratee Gupta, Ashish Yadav, T P Chaturvedi, Atul Bhatnagar, B P Singh
Affiliations
Case Reports

Immediate placement of implant in fresh extraction socket with early loading

Archana Singh et al. Contemp Clin Dent. 2012 Sep.

Abstract

Implant placement in maxillary anterior region has most aesthetic challenges in implant dentistry because tooth loss lead to bone resorption and collapse of gingival architecture, which lead to aesthetic compromise and inadequate bone for implant placement. Immediate implant placement into fresh extraction socket reduces the treatment time, cost, preserved the gingival aesthetic and increases the comfort of the patient. This article describes the procedure for immediate implant placement in fresh extraction socket and early loading of implant with zirconia crown. Clinical and radiographic examination revealed width and length of the tooth for selecting implant size and design. Cement retained zirconia crown was used for early loading. Implant was successfully loaded and was functional during 36 months follow up period. Immediate placement and early loading of dental implant provides advantages like fewer surgical procedures, shorter treatment time, and improved aesthetic and psychological confidence.

Keywords: Early loading; and gingival architecture immediate placement; fresh extraction socket.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Pre-operative occlusal view of fractured maxillary left central incisor
Figure 2
Figure 2
Pre-operative CT Dentascan showing sub gingival fracture in maxillary left central incisor and computed tomogram viewed before operation
Figure 3
Figure 3
Atraumatic tooth extraction without flap reflection resulted in well preserved bone and soft tissue architecture
Figure 4
Figure 4
A 5 × 13 mm tapered self-threaded implant (Hi-tech, Lifecare devices private limited, Isreal) was inserted to desired depth after sequential osteotomy
Figure 5
Figure 5
Periapical radiograph after implant surgery
Figure 6
Figure 6
The definitive customized abutment with corresponding gingival emergence were tightened to 35 Ncm torque
Figure 7
Figure 7
Labial view of definitive implant zirconia restoration. Note- The preservation of tissue architecture and minimal trauma to surrounding tissue
Figure 8
Figure 8
IOPA 3 year after the implant surgery
See this image and copyright information in PMC

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