Comparative Observation of Immediate and Late Placement of Dental Implants With Immediate Loading: A 14-Year Follow-Up Case Report

Figure 1. Preoperative radiograph: Note the radiolucency in the furcation area of maxillary right premolars. Figure 2. Evaluation of surgical area after elevation of a full-thickness mucoperiosteal flap. Figure 3. Extraction and implant placement. Note the small dehiscence on the buccal aspect of area of maxillary right first premolar. Figure 4. Periapical radiograph immediately after implant placement confirms proper implant placement. Figure 5. Laboratory fabricated splinted interim restorations 5 months after implant placement.

Figure 6 . (a) A clinical photograph of the splinted final porcelain-fused-to-metal restorations 8 months after implant placement demonstrating optimal maintenance of per-implant soft tissues. (b) Peri-apical radiograph with the final restorations shows the stable bone levels. Figure 7. Radiograph taken at the 14-year follow-up demonstrates minimum bone resorption at the implant sites. Figure 8. Fractured restorations at the palatal cusps. Figure 9. Labial soft tissue flattening visible following removal of restorations for impression procedures. Figure 10. A clinical photograph of new splinted final porcelain-fused-to-metal restorations (a: occlusal and b: buccal view), more labial soft tissue flattening at the maxillary first right premolar was observed.