Implant Placed in Grafted Site of the Anterior Maxilla: Clinical and Radiographic Evaluation

A 60-year-old male patient, nonsmoker, nonbruxist, and without any history of systemic disease, was appealed to the dental clinic for the evaluation and treatment of his right-maxillary central incisor. His chief complaints were of mobility and slight localized pain during oral function.
The periapical radiograph revealed a localized, severe bone resorption affecting the tooth.

The small field-of-view  cone-beam computed tomography  with three-dimensional reconstruction by means of an implant navigation software confirmed the presence of an advanced, localized bone resorption affecting the right-maxillary central incis

Immediately after tooth extraction, the alveolar bone review depicted a huge bone defect (>8 mm) with loss of a considerable amount of buccal bone.

After 6 months of uneventful healing, a periapical radiograph showed good integration of the material used for regeneration.

Two weeks after implant placement

Three months after the placement of provisional restoration

Two-year control. The implant was in function, showing an excellent aesthetic integration

Francesco Guido Mangano, Piero Zecca,Fabrizia Luongo, Giovanna Iezzi,and Carlo Mangano