Implant Placement in Fresh Extraction Socket with Simultaneous Bone Regeneration
Alessandro Lanza *
Multidisciplinary Department of Medical, Surgical and Dental Sciences, Second University of Naples, 80138 Naples, Italy.
Fabio Scognamiglio
Department of Oral Surgery, University of Naples Federico II, 80138 Naples, Italy.
Felice Femiano
Multidisciplinary Department of Medical, Surgical and Dental Sciences, Second University of Naples, 80138 Naples, Italy.
Michele Lanza
Multidisciplinary Department of Medical, Surgical and Dental Sciences, Second University of Naples, 80138 Naples, Italy.
*Author to whom correspondence should be addressed.
Abstract
The aim of this manuscript is to describe a case of immediate implant placement with simultaneous bone regeneration. A brief review of the literature and the biological rationale is also described in the manuscript.
Presentation of Case: A 42 years old woman Affected by a crown-root fracture referred to our Department. After careful extraction, an implant was inserted immediately as well as a simultaneous bone grafting to reduce post-extractional socket-shrinking. After osseointegration (4 months) the implant was loaded and the clinical and radiographic follow-up is presented. A Cone beam computed tomography was also made to show the integrity and the preservation of buccal bone plate one year after loading.
Discussion: A traumatic extraction, three-dimensionally positioning of the fixture, the simultaneous bone graft insertion and a tension free wound closure has allowed us to achieve healing without complications and a good clinical result.
Conclusion: The use of bone regeneration around immediate implant can help us to obtain good functional and esthetic outcomes.
Keywords: Biomaterials, extraction socket, immediate implant, grafting, Deproteinized Bovine Bone Mineral (DBBM), bone regeneration