Aesthetic Rehabilitation with Immediate Medicine Section Dental Implant of the Inflammatory Periapical Cyst Site: A Case Report with Three-year Follow-up

Rehabilitation with immediate implants has gained popularity for restoration in the aesthetic region, but immediate implant placement and function in infected periapical sites are still debatable. The conventional protocol of placing an implant and waiting for it to osseointegrate is time-consuming and compromises patients’ aesthetics and psychological comfort. The purpose of this case report is to illustrate the possibility of inserting an immediate implant into a fresh extraction socket in an infected site with the presence of a pre-existing cyst following meticulous protocol, such as antibiotic administration, thorough cleaning, and alveolar debridement. The report depicts the minimal removal of existing bone with a single drill implant protocol, and one abutment at one time concept, with a customised microgrooved abutment for a satisfactory functional and aesthetic outcome after three years.