Severe osteomyelitis following immediate placement of a dental implant

Int J Oral Maxillofac Implants. 2008 Jan-Feb;23(1):137-42.


Risk factors and complications in immediate implant placement are widely discussed. The present report describes a case of severe osteomyelitis as a serious complication after the immediate placement of a dental implant into an extraction socket of a 61-year-old woman. The course leads from initial treatment of recurrent perimandibular abscesses with surgical drainage and high-dose intravenous antibiotics to a refractory osteomyelitis. Hemimandibulectomy and partial mandibular reconstruction with a free fibular flap followed.

Publication types

  • Case Reports

MeSH terms

  • Bone Transplantation / methods
  • Dental Implantation, Endosseous / adverse effects*
  • Female
  • Fibula / transplantation
  • Humans
  • Mandible / surgery*
  • Mandibular Diseases / etiology*
  • Mandibular Diseases / therapy
  • Middle Aged
  • Osteomyelitis / etiology*
  • Osteomyelitis / therapy
  • Periodontal Abscess / etiology*
  • Periodontal Abscess / therapy
  • Postoperative Complications / etiology*
  • Postoperative Complications / therapy
  • Severity of Illness Index
  • Tooth Extraction
  • Tooth Socket / surgery
  • Treatment Outcome