Immediate implant placement with a pre-existing periapical lesion

The purpose of the present case report is to illustrate the possibility of inserting immediate implants into the fresh extraction socket in the infected site with the presence of a pre-existing periapical lesion. The case report : A 50-year-old man, presented with a periapical lesion developed on the labial side of right maxilla. The radiograph showed a radiolucent image in the periapical region of 11 12. Extraction and implantation including bone grafting to substitute 11 and 12 had been performed in two appointments. One Implant (13mm length × 3.7mm in diameter ADIN implants) was inserted apically through the cyst cavity. Three months later, the second surgery phase (healing screw insertion) had been followed, and no sign of alternation of radiography and clinical indication were seen after 18 months. This report showed that the placement of immediate implants in presence of a pre-existing infected lesion may not be a necessary contraindication on if appropriate clinical procedures like antibiotic administration, meticulous cleaning, and alveolar debridement are performed before implant surgical procedure. Immediate placement of implants for replacement of teeth with the pre-existing infected lesion is a predictable treatment and can be indicated for replacing teeth lost. Both implants were successfully osseointegrated, and the lesion were healed, follow up of 2 years done (CLINICAL CASE 16, Postextraction Implant Placement, Immediate Loading, Osteotomy, Reduction Guide; Vanessa Montoya-Salazara et al., 2014).