A Combined Approach for the Treatment of Resorbed Fresh Sockets Allowing Immediate Implant Restoration: A 2-Year Follow-Up

Clinicians are able to meet these demands because of improvements in techniques and biomaterials. [...]the indication for immediate implant placement and loading, even in the esthetic regions, has expanded.1,2 When a tooth is extracted, loss of bone height (3.8 mm) and width (1.4 mm) occur in the first 6 months and continues thereafter at a rate of 0.25%-0.5% per year.3 To maintain the gingival architecture and achieve the optimal esthetic result, atraumatic extraction and immediate implant placement are essential. The initial stability of the implant was 40 Ncm, allowing immediate provisionalization of the crown. Because the buccal bone plate was lost due to the inflammatory process, autogenous bone block graftremoved from the maxillary tuberosity was used to increase both the horizontal and vertical dimensions of the alveolar socket.