Immediate Implant Without Too Much Chance of Periimplantitis

A 74-year-old woman is concerned about buccal fistula of the tooth #5 (Fig.1,2 >).  It seems to be safe to place an immediate implant without too much possibility of developing periimplantitis in the future (Fig.3).  With guide, restoration could be finished with a 15 degree angled abutment.  Remove granulation tissue from the buccal fistula and from the socket.  Place a piece of PRF membrane externally (tunnel incision, Fig.4-6 red line) or internally (from the socket) before bone graft (before and after implant placement (Fig.5,6 yellow circles)).  Take 5x5 cm CT immediately postop to confirm the repair.

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Xin Wei, DDS, PhD, MS 1st edition 07/25/2019, last revision 08/18/2019