Maxillary anterior tooth replaced with immediate implant along with combined graft materials: A case report

Abstract

Aim: This case report illustrates the treatment outcome of immediate implant placement replacing the maxillary central incisor with various graft materials like platelet-rich fibrin (PRF), guided bone regeneration (GBR), and alloplast. Background: Whenever the anterior tooth replacement, especially in the esthetic zone, the patient’s demand for the shortening the treatment time has led to the introduction of the immediate implant. Case description: A 22-year-old male patient reported to our college with chief complaint of frequent failure of crown in the maxillary right central incisor. Preoperative investigations were made. Atraumatic extraction of tooth was done. Dental implant was placed along with PRF, alloplast, and GBR. Cover screw and sutures were placed. Postoperative radiovisiography (RVG) was taken. The temporary removable denture was provided. After 6 months of the healing period, again intraoral periapical radiograph (IOPA) was taken and second-stage surgery of replacing the cover screw with the healing cap was done and after 10 days, implant-level impression was made and restoration was cemented. Follow-up was done. Conclusion: Immediate implant placement has highly predictable means of tooth replacement and shows success rates. For the long-term success of restoration, attempt was made using various graft materials that had shown a soft tissue and hard tissue regeneration and also they fill the jumping distance between the adjacent bone and implants. Clinical significance: When compared to the conventional procedure of implant placement, implants placed after extraction show a significant result. This case gives an excellent clinical outcome and esthetic was well appreciated. Hence, the quality of life increases.