Immediate implant placement at a periapical lesion site in the mandibular arch: a case report
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Abstract
Molar teeth play a key role in chewing and grinding food. When patient loses their molars,it is necessary to replace their missing molars to restore the chewing ability. One of the common reasons for molar extraction is the failure of endodontic treatment which is often associated with the inflammation of periapical tissue and periapical lesion. Dental implants are widely used for replacing missing teeth because they are fixed and can provide function like natural teeth.Implant placement can be done in difference timelines after tooth extraction. Immediate implant placement is one of the available options with good outcome. In addition, immediate implant placement also has beneficial in reduction the patient’ surgery as well as total treatment time. However, the success of immediate implant placement depends on many factors, such as type of implant surface, design of implant, bone quality and quantity of patient, tooth extraction technique,implant procedure technique, and dentist experience. In addition, the important thing to consideris the pathology of the tooth. This was a case report of dental implant surgery on the right mandibular first and second molars. The right mandibular second molar was replaced with immediate implant after extraction due to failure of endodontic treatment. The tooth was presented with periapical inflammation and resorption of bone around the roots combined with periapical lesion. The results were 2 implants have completed osseointregration, normal bone healing around the implants and no abnormality was found in both periapical and panoramic films. The patient could use the implants well and felt comfortable.
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