Vol. 3 No. 1 (2020): Current Issue
Case Report

12-year Follow up of Immediate Implant Placement into an Infected Socket in the Esthetic Area: A Case Report

Masood TM
Prosthodontics Resident, Henry M Goldman School of Dental Medicine, Boston University, USA; Resident Dental and Maxillofacial, Saudi German Hospital Jeddah, Saudi Arabia
Hashish I
Head of Dental, Oral and Maxillofacial Surgery, Saudi German Hospitals Group, Saudi Arabia
Eggert J
Oral and Maxillofacial Surgeon in private office, Weiden, Germany
Heckmann SM
Department of Prosthodontics at Saarland University Dental School (Chair: Prof. Dr. M. Karl), Homburg/Saar, Germany

Published 2020-06-08


  • Infected alveolus,
  • Immediate implantation,
  • Augmentation,
  • Titanium abutment,
  • All-ceramic crown,
  • Cement fixation
  • ...More


This is a case report on a patient who suffered from an infected second incisor which already had developed a vestibular fistula. After gentle tooth extraction and removal of the infected tissues, immediate implant placement was performed with an implant of 4.1 mm width and 12 mm length. Simultaneously, deproteinized bovine bone mixed with the patient´s blood was adapted and covered by two membranes to create a harmonious alveolar contour. After a healing period of 10 weeks, a titanium abutment was positioned. For the final crown, a lithium disilicate ceramics cap was pressed and individually veneered using special ceramic material. By the time of the delivery of the restoration, the fistula had healed and the soft tissue condition was all healthy. The 12-year follow up investigation showed intact soft tissue appearance without significant peri-implant tissue loss.