Immediate loading of a dental implant placed in fresh socket with acute dehiscence-type defect: a clinical case report

J Periodontol. 2010 Jun;81(6):953-7. doi: 10.1902/jop.2010.090749.


Background: The aim of the present clinical case is to show buccal bone repair around a dental implant placed by flapless technique and immediately loaded in fresh socket with acute buccal dehiscence-type defect.

Methods: A 58-year-old female presented with a fistula on the buccal side and a root fracture at the left lateral incisive. The dental extraction was performed without mucogingival flap elevation; the absence of buccal bone plate was recorded. A screw-shaped implant was placed. Immediately after the surgical procedure, the patient received temporary prosthetic restoration, and 3 months later definitive metal-ceramic restoration was positioned.

Results: Four years later, a fracture of the crown and gingival inflammatory process were observed. The crown was removed and a fracture of the zirconia abutment was reported. Surgical reentry was performed, gingival flap was raised, and buccal bone repair was observed.

Conclusion: Biologically, it is very difficult to explain the bone repair process around implants in the acute dehiscence-type defect, and only biologic speculations explain the outcome of this clinical result.

Publication types

  • Case Reports

MeSH terms

  • Crowns
  • Dental Abutments
  • Dental Implantation, Endosseous / methods*
  • Dental Implants, Single-Tooth*
  • Dental Porcelain
  • Dental Prosthesis, Implant-Supported*
  • Dental Restoration Failure*
  • Dental Stress Analysis
  • Female
  • Humans
  • Maxilla / surgery
  • Middle Aged
  • Surgical Wound Dehiscence / surgery
  • Time Factors
  • Tooth Socket / surgery*
  • Zirconium


  • Dental Porcelain
  • Zirconium
  • zirconium oxide