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CASE REPORT
Year : 2014  |  Volume : 4  |  Issue : 3  |  Page : 993-999

Restoration of anterior facial cortical bone defect with grafts and placement of immediate implants for restoring facial esthetics: A success story


1 Professor & Head, Department of Prosthodontics, Sree Balaji Dental College and Hospital, Bharath University, Chennai, India
2 Professor, Department of Prosthodontics, Sree Balaji Dental College and Hospital, Bharath University, Chennai, India
3 Asst. Professor, Department of Prosthodontics, Sree Balaji Dental College and Hospital, Bharath University, Chennai, India
4 Senior Lecturer, Department of Prosthodontics, Institute of Dental sciences, Siksha 'o' Anusandhan University, Bhubaneswar, Odisha, India

Correspondence Address:
Dr. SanjnaNayar
Professor & Head, Department of Prosthodontics, Sree Balaji Dental College and Hospital, Bharath University, Chennai
India
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Source of Support: None, Conflict of Interest: None


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Purpose: To describe a protocol for immediate placement of endosseous implant into debrided infected dentoalveolar socket. Patient and methods: A total of 2 implants were placed in a patient with infected dentoalveolar socket in relation to 11. The Immediate placement protocol emphasized the meticulous debridement of the infected tissue in combination with periapical osteotomy of socket. Bone grafting along with Collagen membrane was accomplished to support bony healing of alveolar defects surrounding implantation site. Pre-surgical and postsurgical antibiotic therapy was administered. Results: This is a case report demonstrating the benefits of immediate implant placement coupled with bone grafting for esthetic rehabilitation of an anterior missing teeth & anterior facial cortical bone defect. Both the implants osseointegrated after 6 months follow up and were functional 6 months postoperatively. Conclusion: Successful immediate implantation in debrided infected alveolus depends on complete removal of all contaminated tissue and the controlled regeneration of the alveolar socket.


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