재생 술식을 동반한 발치 후 즉시 임프란트 식립술

Abstract

The placement of implants into fresh extraction socket provides many advantages to conventional delayed implant placement. It reduces total treatment time and surgical procedures with placement of the implant in an ideal position. However, it also has disadvantages such as creating a gap defect between the implant and alveolar bone and difficulty in primary closure of the surgical site. Therefore, need of a regenerative procedure is crucial in immediately placed sites for successful functional and esthetical outcomes. The current case report presents two cases with immediately placed implants performed in anterior and posterior region. A careful tooth extraction was performed to avoid any surgical trauma in the alveolar bone, and implants were successfully installed in both cases. Regenerative procedures such as guided bone regeneration and bone graft were performed in conjunction to fill the gap defect and compensate future ridge alterations. Both cases showed clinically successful results with functionally and esthetically high patient satisfaction. Immediate implant placement in conjunction with an appropriate regenerative procedure could provide successful outcome.