Figure 8.

Representative clinical case with 3-year clinical and radiographic follow-up. (a) CBCT of maxillary left first molar showing periapical infection with extensive bone loss buccally and palatally. (b) Root section for tooth extraction as atraumatic as possible. (c) Septum preservation after extraction. (d,e) Initial osteotomy depth at 10 mm. (f) Implant site preparation, optimized with osseodensification. (g,h) Implant placed in the expanded septum. (i) Allograft placed in the root sockets to fill the extraction socket. (j–l) Adequate implant stability allowed for the placement of a fully contoured customized socket sealing healing abutment out of occlusion. (m) Healing after 3 months, with contour maintenance. (n,o) ISQ measurement after osseointegration period. (p–r) Clinical and radiographic follow-up after 3 years.