Gober Daniel D, Fien Matthew J
Int J Periodontics Restorative Dent. 2016 Mar-Apr;36(2):e26-32. doi: 10.11607/prd.2516.
The aim of this case report is to expand on previous studies of flapless immediate implant placement in sites with a large gap distance, without the application of regenerative materials. In this case report, an immediate implant was placed in a fresh molar extraction site with a large gap distance from the implant surface to the socket walls without the use of a bone graft, membrane, or coronal flap advancement for primary closure. Clinical healing was consistent with spontaneous extraction socket healing. Uncovery at 3 months revealed complete socket fill and secondary stability of the implant. After 2 years and 2 months, bone levels remain stable. This case report demonstrates the natural healing potential of an extraction socket, which can provide sufficient bone healing and dimensional stability for implant osseointegration and a functional restoration.
本病例报告的目的是扩展先前关于在间隙距离较大的部位进行无瓣即刻种植体植入的研究，且不使用再生材料。在本病例报告中，在一个新鲜的磨牙拔牙位点植入即刻种植体，该位点从种植体表面到牙槽窝壁的间隙距离较大，未使用骨移植、膜或冠向瓣推进进行一期关闭。临床愈合与拔牙窝的自然愈合一致。3个月时暴露显示牙槽窝完全填充且种植体具有二级稳定性。2年零2个月后，骨水平保持稳定。本病例报告证明了拔牙窝的自然愈合潜力，其可为种植体骨整合和功能修复提供足够的骨愈合和尺寸稳定性。
