PMC8057912_01
Preimplant surgery photo.
CRID2021-5592934.001.jpg
PMC8057912_01_CRID2021-5592934.001.jpg
fig1
A 64-year-old Caucasian female patient was referred to the Graduate Periodontics Clinic at the University of Florida College of Dentistry for implant placement in the area of #5 (Figure 1).
CBCT image before implant placement.
CRID2021-5592934.002.jpg
PMC8057912_01_CRID2021-5592934.002.jpg
fig2
The implant treatment plan was made after assessing the bone volume as well as its proximity to the vital structures in #5 site (Figure 2).
Implant placement.
CRID2021-5592934.003.jpg
PMC8057912_01_CRID2021-5592934.003.jpg
fig3
Tech EV OsseoSpeed, Dentsply International) (Figures 3 and 4).
X-ray following the implant placement.
CRID2021-5592934.004.jpg
PMC8057912_01_CRID2021-5592934.004.jpg
fig4
Tech EV OsseoSpeed, Dentsply International) (Figures 3 and 4).
10 days after implant placement. The patient exhibited significant allergy symptoms.
CRID2021-5592934.005.jpg
PMC8057912_01_CRID2021-5592934.005.jpg
fig5
The surgical site and adjacent teeth were tender to palpation with hyperplastic gingival (Figure 5).
Intraoral photos taken on day 4 after implant placement exhibit significant allergy symptoms. ((a) occlusal view; (b) buccal view).
CRID2021-5592934.006.jpg
PMC8057912_01_CRID2021-5592934.006.jpg
fig6
A periapical radiograph was taken during the appointment, and no apparent abnormality was detected (Figure 6).
Implant removal surgery. (a) Implant exposure. (b) Implant removal. (c) Bone grafting of implant site.
CRID2021-5592934.007.jpg
PMC8057912_01_CRID2021-5592934.007.jpg
fig7
The patient was immediately scheduled for the explant surgery, and the implant on #5 was removed (Figures 7(a) and 7(b)). The extracted site was grafted with freeze-dried bone allograft (Symbios allograft, Dentsply Sirona) and covered with resorbable collagen membrane (Symbios Collagen Membrane pre-hydrated, Dentsply Sirona) (Figure 7(c)).
Three-week postsurgical follow-up.
CRID2021-5592934.008.jpg
PMC8057912_01_CRID2021-5592934.008.jpg
fig8
The patient had 3, 6, and 10-week follow-up visits (Figures 8 and 9).
Ten-week postsurgical follow-up.
CRID2021-5592934.009.jpg
PMC8057912_01_CRID2021-5592934.009.jpg
fig9
The patient had 3, 6, and 10-week follow-up visits (Figures 8 and 9).