It is common practice to use delayed implant placement in patients whose teeth have been lost due to infection in the site. In case of long-term pre-existing infections, there is always a possibility that the implants will be negatively affected. According to Resnik and Misch, this occurs primarily because of the microbial interference in the healing process caused by pre-existing inflammation.1 Pre-existing inflammatory conditions such as periodontitis will release inflammatory factors, increasing the risk of secondary infection.2, 3 However, animal research, human case reports and case series, and prospective studies have confirmed that there is no difference in the success rates of delayed implant placement in sites associated with chronic periapical pathology and immediate implant placement in similar conditions.4, 5 This case report aims to illustrate the workflow involved in managing a cystic lesion around a maxillary first premolar with a staged grafting approach and delayed implant placement...
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