Utilization of Chronic Intrasocket Granulation Tissue for Immediate Implantation in the Type III Extraction Socket of a Maxillary Anterior Tooth

Traditionally, intrasocket granulation tissue (IGT) has been regarded as infected tissue to be removed during extraction to facilitate bone healing. However, recent findings suggest that IGT can support primary closure, preserving keratinized mucosa and enhancing healing potential without requiring additional soft tissue grafting. This case series explores the application of IGT as an extended flap in immediate implant placement within type III extraction sockets, specifically in the anterior maxilla of healthy patients. A dense, thick IGT was utilized to extend the gingival flap, achieving tension-free primary closure and maintaining mucogingival junction stability. This technique allowed for socket preservation with sufficient vestibular depth and reduced surgical intervention. Consequently, this approach may offer a viable alternative for immediate implantation in type III extraction sockets, particularly in esthetic areas in which keratinized mucosa and soft tissue stability are essential.