Immediate implant placement has some advantages, such as time-saving, optimal soft tissue architecture preservation, and patient acceptance. In this case, prior to implant placement, minimally guided bone regeneration was performed to augment the concavity on the apico-labial aspect of a fractured maxillary right lateral incisor. After eight months, the tooth was extracted, and an implant was immediately inserted, and a provisional composite-based crown was delivered in the same appointment. After four months, well molded mid-facial gingiva and interproximal papilla were obtained, and a final metal-ceramic crown was fabricated.
Implant peri-apical lesion (IPL) is a periapical lesion, usually asymptomatic, in which the coronal portion of the implant achieves a normal bone to implant interface. A case of IPL following immediate implant placement and treated with guided bone regeneration (GBR) principles is described. Five-year clinical and radiographic follow-up with cone-beam assessment showed complete healing of the bone. GBR principles applied to IPL could completely solve the lesion.
Management of Loss of Labial Cortical Plate during Immediate Implant Placement with Guided Bone Regeneration: A Clinical and Radiological Study