Treatment of an Erratic Extraction Socket for Implant Therapy in a Patient with Chronic Periodontitis

As implant therapy becomes more commonplace in daily practice, preservation and preparation of edentulous sites are key. Many times, however, implant therapy may not be considered at the time of tooth extraction and additional measures are not taken to conserve the edentulous site. While the healing...

Full description

Saved in:
Bibliographic Details
Main Authors: Yusuke Hamada, Srividya Prabhu, Vanchit John
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2016/1746961
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850229874287968256
author Yusuke Hamada
Srividya Prabhu
Vanchit John
author_facet Yusuke Hamada
Srividya Prabhu
Vanchit John
author_sort Yusuke Hamada
collection DOAJ
description As implant therapy becomes more commonplace in daily practice, preservation and preparation of edentulous sites are key. Many times, however, implant therapy may not be considered at the time of tooth extraction and additional measures are not taken to conserve the edentulous site. While the healing process in extraction sockets has been well investigated and bone fill can be expected, there are cases where even when clinicians perform thorough debridement of the sockets, connective tissue infiltration into the socket can occur. This phenomenon, known as “erratic healing,” may be associated with factors that lead to peri-implant disease and should be appropriately managed and treated prior to surgical implant placement. This case report describes the successful management of an erratic healing extraction socket in a 62-year-old Caucasian male patient with chronic periodontitis and the outcomes of an evidence-based treatment protocol performed prior to implant therapy. Careful preoperative analysis and cone beam computed tomography imaging can help detect signs of impaired healing in future implant sites and prevent surgical complications.
format Article
id doaj-art-2a1eda33f86945eaabbcfea6ca2b4a0f
institution OA Journals
issn 2090-6447
2090-6455
language English
publishDate 2016-01-01
publisher Wiley
record_format Article
series Case Reports in Dentistry
spelling doaj-art-2a1eda33f86945eaabbcfea6ca2b4a0f2025-08-20T02:04:02ZengWileyCase Reports in Dentistry2090-64472090-64552016-01-01201610.1155/2016/17469611746961Treatment of an Erratic Extraction Socket for Implant Therapy in a Patient with Chronic PeriodontitisYusuke Hamada0Srividya Prabhu1Vanchit John2Department of Periodontics and Allied Dental Program, Indiana University School of Dentistry, Indianapolis, IN 46204, USADepartment of Periodontics and Allied Dental Program, Indiana University School of Dentistry, Indianapolis, IN 46204, USADepartment of Periodontics and Allied Dental Program, Indiana University School of Dentistry, Indianapolis, IN 46204, USAAs implant therapy becomes more commonplace in daily practice, preservation and preparation of edentulous sites are key. Many times, however, implant therapy may not be considered at the time of tooth extraction and additional measures are not taken to conserve the edentulous site. While the healing process in extraction sockets has been well investigated and bone fill can be expected, there are cases where even when clinicians perform thorough debridement of the sockets, connective tissue infiltration into the socket can occur. This phenomenon, known as “erratic healing,” may be associated with factors that lead to peri-implant disease and should be appropriately managed and treated prior to surgical implant placement. This case report describes the successful management of an erratic healing extraction socket in a 62-year-old Caucasian male patient with chronic periodontitis and the outcomes of an evidence-based treatment protocol performed prior to implant therapy. Careful preoperative analysis and cone beam computed tomography imaging can help detect signs of impaired healing in future implant sites and prevent surgical complications.http://dx.doi.org/10.1155/2016/1746961
spellingShingle Yusuke Hamada
Srividya Prabhu
Vanchit John
Treatment of an Erratic Extraction Socket for Implant Therapy in a Patient with Chronic Periodontitis
Case Reports in Dentistry
title Treatment of an Erratic Extraction Socket for Implant Therapy in a Patient with Chronic Periodontitis
title_full Treatment of an Erratic Extraction Socket for Implant Therapy in a Patient with Chronic Periodontitis
title_fullStr Treatment of an Erratic Extraction Socket for Implant Therapy in a Patient with Chronic Periodontitis
title_full_unstemmed Treatment of an Erratic Extraction Socket for Implant Therapy in a Patient with Chronic Periodontitis
title_short Treatment of an Erratic Extraction Socket for Implant Therapy in a Patient with Chronic Periodontitis
title_sort treatment of an erratic extraction socket for implant therapy in a patient with chronic periodontitis
url http://dx.doi.org/10.1155/2016/1746961
work_keys_str_mv AT yusukehamada treatmentofanerraticextractionsocketforimplanttherapyinapatientwithchronicperiodontitis
AT srividyaprabhu treatmentofanerraticextractionsocketforimplanttherapyinapatientwithchronicperiodontitis
AT vanchitjohn treatmentofanerraticextractionsocketforimplanttherapyinapatientwithchronicperiodontitis