{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T00:31:03Z","timestamp":1760920263604,"version":"build-2065373602"},"reference-count":33,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2010,6,1]],"date-time":"2010-06-01T00:00:00Z","timestamp":1275350400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Periodontology"],"published-print":{"date-parts":[[2010,6]]},"abstract":"<jats:p><jats:bold>Background:<\/jats:bold> The aim of the present clinical case is to show buccal bone repair around a dental implant placed by flapless technique and immediately loaded in fresh socket with acute buccal dehiscence\u2010type defect.<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold> A 58\u2010year\u2010old female presented with a fistula on the buccal side and a root fracture at the left lateral incisive. The dental extraction was performed without mucogingival flap elevation; the absence of buccal bone plate was recorded. A screw\u2010shaped implant was placed. Immediately after the surgical procedure, the patient received temporary prosthetic restoration, and 3 months later definitive metal\u2010ceramic restoration was positioned.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> Four years later, a fracture of the crown and gingival inflammatory process were observed. The crown was removed and a fracture of the zirconia abutment was reported. Surgical reentry was performed, gingival flap was raised, and buccal bone repair was observed.<\/jats:p><jats:p><jats:bold>Conclusion:<\/jats:bold> Biologically, it is very difficult to explain the bone repair process around implants in the acute dehiscence\u2010type defect, and only biologic speculations explain the outcome of this clinical result.<\/jats:p>","DOI":"10.1902\/jop.2010.090749","type":"journal-article","created":{"date-parts":[[2010,4,9]],"date-time":"2010-04-09T11:43:23Z","timestamp":1270813403000},"page":"953-957","source":"Crossref","is-referenced-by-count":6,"title":["Immediate Loading of a Dental Implant Placed in Fresh Socket With Acute Dehiscence\u2010Type Defect: A Clinical Case 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