Title Immediate implant placement in a chronic periradicular resorptive lesion: A case report of timely restoration and successful outcomes
Authors Rathi, Manish ; Reddy, Saravanan Sampoornam Pape ; Linkevičius, Tomas
DOI 10.4103/jisp.jisp_87_25
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Is Part of Journal of Indian Society of Periodontology.. Wolters Kluwer Medknow Publications. 2025, vol. 29, iss. 5, p. 560-565.. ISSN 0972-124X. eISSN 0975-1580
Keywords [eng] Bone resorption ; case reports ; immediate dental implant ; infection ; treatment outcome
Abstract [eng] This case report presents the case of a 34-year-old male with a chronic periradicular abscess, fractured prosthesis, and significant mandibular bone resorption. The goal was to restore function and esthetics through immediate implant placement (IIP) despite infection and bone loss. Examination revealed Grade III mobility of teeth #19 and #20, a draining sinus, and extensive bone resorption confirmed by the cone-beam computed tomography. Using the Simple, Advanced, Complex classification, the case was classified into “complex” due to its pathology and poor bone quality. IIP was chosen after careful debridement and bone grafting with xenogeneic material. The implants were placed with primary stability, and a customized healing abutment was prepared for optimal soft-tissue healing. This case shows that IIP is effective in challenging conditions with infection and bone resorption, given careful planning, infection control, and grafting. Treatment was successful with long-term outcomes. Bone healing and implant integration were confirmed at follow-up, providing functional and esthetic restorations.
Published Wolters Kluwer Medknow Publications
Type Journal article
Language English
Publication date 2025
CC license CC license description