Even when there is an extensive amount of bone loss around teeth planned for extraction (1), we can still employ immediate placement provided we follow biological and surgical principles that have been described in the literature. In this case, once 28 and 29 were extracted, a significant defect was present by both sockets. Implants were able to be placed in 28 and 30 (2) and GBR was employed using DALI cortical-cancellous particulate graft (3) and OsseoSeal collagen membrane (4). Despite the extensive defect, we were able to regenerate bone around the implants which successfully integrated (5).
What approach would you have felt comfortable taking in this case?