Patient F.G., a 51-year-old woman, presented for an examination due to a vertical fracture of tooth no. 31 (FDI 4.7), which was deemed irreparable. The patient wished to replace the missing tooth without affecting the adjacent teeth.
An immediate implant placement is planned following the extraction at the site of tooth no. 31 31. The implant osteotomy was prepared using a combined approach involving a piezoelectric device and bone densification drills. This technique was employed to expand the interradicular bone septum, ensuring primary stability of the implant in the ideal prosthetic position. To counteract the volumetric contraction of the extraction socket, a synthetic biomaterial graft (bioglass). This was protected by a long-term resorbable PLA-PGA membrane, which was sutured occlusally to cover the graft. Follow-up images at 2, 3, and 5 years demonstrate successful restoration of function and long-term maintenance of peri-implant bone levels.
