Author/Authors :
Scarano, Antonio Department of Medical Oral and Biotechnological Sciences and CeSi MeT - University of Chieti-Pescara, Italy , Assenza, Bartolomeo Department of Medical Oral and Biotechnological Sciences and CeSi MeT - University of Chieti-Pescara, Italy , Inchingolo, Francesco Department of Interdisciplinary Medicine - University of Bari “Aldo Moro”, Bari, Italy , Mastrangelo, Filiberto Department of Clinical and Experimental Medicine - University of Foggia, Foggia, Italy , Lorusso, Felice Department of Medical Oral and Biotechnological Sciences and CeSi MeT - University of Chieti-Pescara, Italy
Abstract :
Background. The immediate placement of a dental implant could represent an option treatment for the rehabilitation of a
postextractive missing tooth socket to replace compromised or untreatable teeth, with the advantage of single-session surgery. In
this way, the anatomy of the alveolar bone defect, the preservation of the buccal cortical bone, and the primary stability of the
fixture represent the critical factors that consent a precise implant placement. Objective. This case report describes a novel
fixture design for postextractive alveolar socket immediate implant. Methods. Two patients (25 and 31 years old) were treated
for postextractive dental implant placement to replace both central upper incisor teeth with four implants. The residual bone
implant gap was not filled with graft or bone substitute. The restoration was provided following a standard loading protocol by
a cement-sealed prosthetic abutment. Results. Clinically, all implants positioned showed an excellent insertion torque. No
postoperative complications were reported. At 6 months of healing, the buccal cortical bone and the implant stability were
present and well maintained. Conclusion. The evidence of this study allows us to underline the possible advantages of this new
fixture design for postextractive implant technique.
