Abstract
In the case of multiple hopeless teeth and severe bone loss, a conventional healing protocol of 3–4 months has been recommended to prevent the possibility of infection or unpredictable resorption of grafted bone during consolidation of the extraction socket. The use of a provisional denture is inevitable in the case of delayed implant placement, which is a common risk factor for wound dehiscence after a bone graft. Although autogenous bone is still the gold standard for bone grafting because of its excellent biocompatibility and osteogenic potential, there has been controversy in the unpredictable resorption of autogenous bone grafting. We present a case of successful maxillary rehabilitation without the use of provisional dentures by immediate implant placement, with early loading accompanying an extensive autogenous bone graft.
Highlights
Autogenous bone is still the gold standard for bone grafting because of its excellent biocompatibility, osteogenic potential owing to the living osteoblasts, osteoinductivity, and osteoconductivity [1]
Bone grafting with autogenous bone alone has been controversial because of its volumetric instability
Intramembranous bone has been known to show minimal resorption and more rapid integration compared with that shown by endochondral bone [3]
Summary
Autogenous bone is still the gold standard for bone grafting because of its excellent biocompatibility, osteogenic potential owing to the living osteoblasts, osteoinductivity, and osteoconductivity [1]. If a patient requires a bone graft even after the consolidation of the extraction socket, immediate implant placement with early loading could reduce the overall rehabilitation time, increase patient satisfaction and function, and have a psychological benefit. The aim of this case report was to introduce a case of successful maxillary rehabilitation without the use of provisional partial dentures by immediate implant placement with extensive autogenous bone graft and early loading after 4 weeks of surgery for soft tissue healing
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