Management of Early Implant Failure Associated with A Remnant: A Case Report

Abstract

Implant restoration, a predictive procedure for edentulous areas, can suffer from early failure due to several factors. While thorough debridement of the extraction socket is standard practice for implant placement, unintentional remnant can occur. This case report presents an early implant failure following placement and guided bone regeneration. Radiological examination revealed radiopaque material around the implant, prompting material removal and subsequent biopsy. The histological analysis identified the area surrounding the bone material as granulation tissue containing chronic inflammatory cells, while the hard tissue area exhibited hypercementosis or periapical cemento-osseoeous dysplasia. These findings suggest unintentional placement of the implant into a remnant following the previous extraction. This case highlights the importance of thorough debridement after tooth extraction. Moreover, pre-implant placement radiological evaluation is necessary to avoid implant failure associated with unintentionally retaining lesion.