Immediate loading of a dental implant placed in fresh socket with acute dehiscence-type defect: A clinical case report

Roberto Villa, Roberto Crespi, Paolo Capparè, Enrico Gherlone

Research output: Contribution to journalArticle


Background: The aim of the present clinical case is to show buccal bone repair around a dental implant placed by flapless technique and immediately loaded in fresh socket with acute buccal dehiscencetype defect. Methods: A 58-year-old female presented with a fistula on the buccal side and a root fracture at the left lateral incisive. The dental extraction was performed without mucogingival flap elevation; the absence of buccal bone plate was recorded. A screw-shaped implant was placed. Immediately afterthe surgicalprocedure, thepatient received temporary prosthetic restoration, and 3 months later definitive metal-ceramic restoration was positioned. Results: Four years later, a fracture of the crown and gingival inflammatory process were observed. The crown was removed and a fracture of the zirconia abutment was reported. Surgical reentry was performed, gingival flap was raised, and buccal bone repair was observed. Conclusion: Biologically, it is very difficult to explain the bone repair process around implants in the acute dehiscence-type defect, and only biologic speculations explain the outcome oft his clinical result.

Original languageEnglish
Pages (from-to)953-957
Number of pages5
JournalJournal of Periodontology
Issue number6
Publication statusPublished - Jun 2010



  • Alveolar bone loss
  • Case report
  • Immediate denture
  • Implant-supported dental prosthesis
  • Tooth socket

ASJC Scopus subject areas

  • Periodontics

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