Immediate Placement of Zirconia Implants in Teeth with Periapical Lesions: A Case Report

Abstract

A 29-year-old female patient reported to the dental operatory with the chief complaint of pain in relation to the right lower back tooth region. The pain was sudden in onset and aggravated during mastication. The patient also gave a history of a metal allergy that presented as erythema on wearing artificial jewellery. Clinical examination in relation to teeth #46 and 47 revealed tenderness on percussion. Both teeth were endodontically treated one year prior to presentation and rehabilitated with Porcelain Fused Metal (PFM) crowns with no gingival recession [Table/ Fig-1,2]. Radiographic examination revealed recurrent caries beneath the crowns with mild root resorption and an associated periapical lesion in relation to tooth #46. There was also Grade III furcation involvement of tooth #47 [Table/ Fig-3] Adequate bone height and width were present as verified using CBCT [Table /Fig-4]. The poor prognosis of reendodontic treatment was explained and the patient wanted a more definitive treatment. The teeth were hence decided to be extracted and immediately replaced with one piece zirconia implants.

Commonly prescribed analgesics, post implant surgery - A retrospective study

“…It restores nor- and Bhat, 2015). Zirconia implants have been considered for their aesthetics, lack of galvanic reactions and their lesser risks for in lammation as compared to titanium implants (Ahmed et al, 2017). With any invasive procedure, post operative pain is inevitable.…”