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KMID : 1025720230420040053
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Journal of Dental Implant Research
2023 Volume.42 No. 4 p.53 ~ p.59
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Immediate implant placement with nasopalatine duct cyst enucleation: A case report
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Kang Tae-Gyu
Shin Ye-Ju
Park Kwan-Soo
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Abstract
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Immediate implant placement after extraction can provide several advantages when the condition of alveolar bone and gingival tissue is acceptable before extraction. This approach is preferred by many clinicians for achieving rapid aesthetic recovery, particularly in the anterior maxillary region. Several studies have shown that immediate implant placement after extraction is not always possible, particularly if an infected lesion occurs in the periapical region. Such cases warrant caution. The recent literature reported a high success rate when immediate implant placement was carried out in teeth with peri-radicular infected lesions after thoroughly removing the infected tissue following extraction. The nasopalatine duct cyst (NPDC), commonly found in the anterior maxillary palatal region, is a benign non-odontogenic cyst showing a favorable prognosis on adequate enucleation. Communication can occur between the bony defect and the extraction site if the NPDC has grown significantly because the anatomical position of the bone defect affects the enucleation. Moreover, the anterior maxillary teeth are extracted concurrently with enucleation. This case report discusses the successful simultaneous enucleation of an NPDC and immediate implant placement in both maxillary lateral incisors (#12, #22) in an older patient with multiple systemic disease conditions under dual antiplatelet therapy.
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KEYWORD
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Immediate implants, Nasopalatine duct cyst, Cyst enucleation
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