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International Journal of Periodontics & Restorative Dentistry



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Int J Periodontics Restorative Dent 36 (2016), No. 2     25. Feb. 2016
Int J Periodontics Restorative Dent 36 (2016), No. 2  (25.02.2016)

Online Article, Page 26-32, doi:10.11607/prd.2516, PubMed:26901307

Online Article: Flapless Extraction Socket Healing Around an Immediate Implant Placed into a Mandibular Molar Site Without the Use of Regenerative Materials: A Case Report
Gober, Daniel D. / Fien, Matthew J.
The aim of this case report is to expand on previous studies of flapless immediate implant placement in sites with a large gap distance, without the application of regenerative materials. In this case report, an immediate implant was placed in a fresh molar extraction site with a large gap distance from the implant surface to the socket walls without the use of a bone graft, membrane, or coronal flap advancement for primary closure. Clinical healing was consistent with spontaneous extraction socket healing. Uncovery at 3 months revealed complete socket fill and secondary stability of the implant. After 2 years and 2 months, bone levels remain stable. This case report demonstrates the natural healing potential of an extraction socket, which can provide sufficient bone healing and dimensional stability for implant osseointegration and a functional restoration.