Immediate implantation case

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Shall I share a brief case of immediate implant placement today?

A 79-year-old male patient with chronic periodontitis in the #47 region, exhibiting significant mobility but not severe bone resorption, underwent extraction with immediate implant placement due to the mobility issue.


This is the CT finding.


I placed the implant with some concern while extracting the tooth.

For immediate implant placement in the mandibular second molar area, it seems advantageous to place the implant slightly toward the distal aspect with some caution, considering the future restoration's emergency profile.

The implant is completely submerged within the bone, and it was placed with an approximate depth of around 4mm to achieve a proper gingival height.


Collagen plug was used to prevent the penetration of foreign substances without performing separate bone grafting.



 Afterward, no sutures were applied, and Periopack was maintained. Bone healing abutment (size 604) was placed to avoid interference with adjacent bone.












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