Esthetic and prosthetic rehabilitation of maxillary lateral incisor: A case report

The key factors in achieving successful outcomes after implant placement immediately after tooth extraction is a correct diagnosis and treatment planning. The efficacy of immediate implant placement has been established and shown to be predictable if reasonable guidelines are followed. The reasons for tooth extraction may include but not limit to: insufficient crown to root ratios, remaining root length, periodontal attachment levels, periodontal health of teeth adjacent to the proposed implant sites, unrestorable caries, root fractures with large endodontic posts and questionable teeth in need of endodontic retreatment. The most esthetically challenging in implant placement is the maxillary anterior region. The reason being that tooth loss leads to resorption of bone and collapse in gingival architecture leading to esthetic compromise and inadequate bone for implant placement. Also, the advantages of placing Immediate implant into freshly extracted socket reduces the treatment time, cost, and increases the patient comfort. This case report describes the procedure for immediate implant placement in fresh extraction socket. Clinical and radiographic examination revealed width and length of the tooth for selecting implant size and design. Implant was successfully loaded and was functional during 24 months follow up period.