Single Tooth Replacement Using Immediately Loaded Basal Implant-Supported Fixed Prosthesis in a Hyperdense Lesion: A Case Report

Osseous modifications in the periapical areas are related to chronic endodontic infections. Often, teeth with periapical infections and hopeless prognosis are removed and replaced with dental implants. In this clinical report, a patient with a radiopaque lesion on the root apex of the mandibular rig...

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Published inCurēus (Palo Alto, CA) Vol. 15; no. 2; p. e34946
Main Authors Hassan, Safiya, Dhadse, Prasad, Mundada, Bhushan P, Bajaj, Pavan, Subhadarsanee, Chitrika, Oza, Ranu R
Format Journal Article
LanguageEnglish
Published United States Cureus Inc 13.02.2023
Cureus
Subjects
Bone density
Bone surgery
Case reports
Dental implants
Dental pulp
Dentistry
Endodontics
Orthopedics
Other
Prostheses
Teeth
Tomography
hyperdense lesions
periapical infections
condensing osteitis
osseointegration
basal implant
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Summary:Osseous modifications in the periapical areas are related to chronic endodontic infections. Often, teeth with periapical infections and hopeless prognosis are removed and replaced with dental implants. In this clinical report, a patient with a radiopaque lesion on the root apex of the mandibular right first molar root is presented. Bone- and tissue-borne lesions were the differential diagnoses for the radiopaque mass. Based on the clinical and radiological characteristics, condensing osteitis (CO) was the final diagnosis of osseous growth (bone density and trabeculation of the bone). Under local anesthesia, tooth 46 was atraumatically extracted, and the immediate basal implant was placed. This case report investigated the effectiveness and safety of dental implantation in the vicinity of hyperdense lesions.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.34946