Clinical and esthetic outcome of immediate implant placed in postextraction site with alveolar bone defect using guided bone regeneration

A 50-year-old male presented with nonrestorable fractured upper right first premolar. The implant was placed immediately after extraction, and guided bone regeneration (GBR) was performed simultaneously to correct the dehiscence at the labial aspect. Five months after implant placement, the treatment showed satisfactory results both clinically and radiographically. The periapical radiograph confirmed the complication-free integration of the implant and repair of buccal defect. Thus, immediate implant placement with simultaneous GBR in postextraction sockets with bony defects is a reliable technique with predictable results. However, this protocol is technique sensitive, and a number of guidelines and prerequisites need to be seriously considered, especially good primary stability and correct three-dimensional placement.