Implant Placement in Fresh Extraction Socket with Simultaneous Bone Regeneration

The aim of this manuscript is to describe a case of immediate implant placement with simultaneous bone regeneration. A brief review of the literature and the biological rationale is also described in the manuscript. Presentation of Case: A 42 years old woman Affected by a crown-root fracture referred to our Department. After careful extraction, an implant was inserted immediately as well as a simultaneous bone grafting to reduce post-extractional socket-shrinking. After osseointegration (4 months) the implant was loaded and the clinical and radiographic follow-up is presented. A Cone beam computed tomography was also made to show the integrity and the preservation of buccal bone plate one year after loading. Discussion: A traumatic extraction, three-dimensionally positioning of the fixture, the simultaneous bone graft insertion and a tension free wound closure has allowed us to achieve healing without complications and a good clinical result. Conclusion: The use of bone regeneration around immediate implant can help us to obtain good functional and esthetic outcomes.