Case Report: Immediate Implant Placement with GBR in a 97-Year-Old Patient with Osteoporosis
I. Patient Basic Information
Name: Ms. Chen
Gender: Female
Age: 97
Chief Complaint: Mobility of the right maxillary anterior tooth, affecting mastication and dietary intake for 6 months.
Past Medical History: The patient has a history of diabetes mellitus, with regular medication adherence and good glycemic control. The most recent HbA1c level was 7.0%.
Present Dental History: The patient has a history of chronic generalized periodontitis, with irregular periodontal maintenance. Tooth #11 has been mobile, compromising masticatory function for the past 6 months.
II. Clinical Examination
Mouth opening: 3 finger breadths.
Intraoral examination: Tooth #11 exhibits Grade III mobility.
III. Diagnosis and Treatment Plan
Diagnosis: Chronic periodontitis affecting tooth #11.
Treatment Plan: Immediate extraction of tooth #11, followed by immediate implant placement and Guided Bone Regeneration (GBR).
IV. Treatment Procedure
October 6, 2024 (Sunday, 10:00 AM): Extraction of tooth #11 was performed, followed by implant placement at the same site. Bone graft material was implanted, and a resorbable membrane was placed over the graft. A scheduled follow-up appointment was arranged.
March 27, 2025 (Follow-up Visit 2): A second-stage CT scan was taken for evaluation.
April 9, 2025: Definitive crown placement was completed.
V. Case Summary
This case involves a single implant placed immediately into an extraction socket. The patient is an elderly female with osteoporosis and significant bone defects. The Hanzu implant system demonstrated robust osseointegration capacity, leading to a favorable clinical outcome in this challenging scenario.
VI. Clinician Profile
Name:Lin Liqun
Affiliation/Title:
Chief Physician, Master of Medicine, Professor at Fuzhou Demujia Dental Clinic.
Honors and Achievements:
Editorial Board Member of the China Medical Herald; President of the 1st, 2nd, and 3rd sessions of the Fuzhou Stomatological Association; Committee Member of the Fuzhou Association for Science and Technology; Standing Committee Member of the Fujian Provincial Oral Implantology Specialized Committee.
