Flapless Extraction Socket Healing Around an Immediate Implant Placed into a Mandibular Molar Site Without the Use of Regenerative Materials: A Case Report.

The aim of this case report is to expand on previous studies of flapless immediate implant placement in sites with a large gap distance, without the application of regenerative materials. In this case report, an immediate implant was placed in a fresh molar extraction site with a large gap distance from the implant surface to the socket walls without the use of a bone graft, membrane, or coronal flap advancement for primary closure. Clinical healing was consistent with spontaneous extraction socket healing. Uncovery at 3 months revealed complete socket fill and secondary stability of the implant. After 2 years and 2 months, bone levels remain stable. This case report demonstrates the natural healing potential of an extraction socket, which can provide sufficient bone healing and dimensional stability for implant osseointegration and a functional restoration.

Compromised Hard- and Soft-Tissue Architecture: Immediate Implant Placement and Provisionalization in the Esthetic Zone.

Careful case selection is crucial for achieving short- and long-term success with immediate implant placement and provisionalization. Caution should be exercised for a tooth that presents with a compromised soft- and hard-tissue architecture. Nevertheless, a successful outcome can be achieved provided that the principles elucidated in the current literature are applied. The following report describes a case with a severely reduced but healthy periodontium around a tooth scheduled for extraction. Immediate implant placement and provisionalization utilizing the extracted tooth with simultaneous hard- and soft-tissue augmentation were performed in one surgical visit. This facilitated the restoration of a healthy peri-implant tissue complex and delivery of a functional and esthetic final implant-supported restoration.

Correcting Mucogingival Deformities at the Time of Extraction for a Future Implant Site: A Case Report.

INTRODUCTION: Existing soft tissue deformities around a tooth planned for extraction and replacement with a dental implant may jeopardize the esthetic and physiologic outcome of any dental implant treatment. If soft tissue deformities can be prevented, minimized, or corrected at the time of tooth extraction for the future implant site and the adjacent teeth, more predictable outcomes with superior esthetics and health can be accomplished along with fewer surgical visits. CASE PRESENTATION: This case report describes a patient who presented with mucogingival deformities around a tooth scheduled for extraction and subsequent implant placement. The adjacent tooth also presented with similar characteristics. Surgical modifications and refinements were used by performing an epithelialized free gingival graft (E-FGG) at the time of tooth extraction to enhance the tissue quality of the future implant site and its neighboring tooth. CONCLUSION: The identification of inadequate attached gingiva in the area of future implant placement and neighboring teeth in the treatment planning phase can enable clinicians to address any mucogingival deformities with E-FGGs at the time of extraction without subjecting the patient to any additional surgical visits and healing time.