Flapless immediate implant placement into fresh molar extraction socket using platelet-rich fibrin: A case report

Figure 1 Preoperative intraoral condition and cone-beam computed tomography. A: Tooth #26 presented with resin filling and vertical crown-root fracture; B: Cone-beam computed tomography revealed a fracture line from the occlusal surface to the end of the palatal root and the available bone height was 4 mm; C: Flow chart timeline of the treatment plan.

Figure 2 The surgical procedure. A: The tooth #26 was extracted atraumatically; B: The implant was placed. The bone defect was visible around the implant; C: The bio-oss collagen with platelet rich fibrin (PRF) was placed into the space between the implant and the socket walls; D and E: The wound was covered with PRF membrane without tight suture to regenerate soft tissue.

Figure 3 Intraoral condition at 15-d follow-up visit: The vascularization of soft tissue is visible.

Figure 4 Postoperative periapical standard radiograph in which the regeneration of bone tissue and soft tissue is visible.

Figure 5 The definitive restoration. A: Occlusal view; B: Buccal view.