Timing of implantation and extraction in aesthetically sensitive anterior tooth region, part 1: Clinical case reports

Rationale: Immediate implantation after anterior tooth trauma is the safest method for completely preserving the alveolar structures. However, based on evidence, most anterior tooth trauma occurs in childhood when implantation is not possible owing to growth in the jaw area. Patient concerns: In adulthood, long-term effects can occur with cyst formation or chronic infections in traumatized teeth. The loss of an anterior tooth leads to the loss of alveolar structures and aesthetic limitations due to recession, scar tissue, or surgical augmentation procedures. Diagnoses: Patient 1 was a 21-year-old woman with an extensive radicular cyst following anterior tooth trauma in early childhood. She had incomplete root growth and an open apex. Patient 2 was a 24-year-old woman with a history of anterior tooth trauma in 11 and 21 during adolescence. She also had fistulas in regions 11 and 21. Interventions: In both patients, optimally timed implantation and minimally invasive surgery resulted in tissue preservation without additional augmentation procedures. Outcomes: This case series highlights varying clinical presentations of childhood anterior tooth trauma and their long-term effects in adulthood. Lessons: By optimizing the timing of extraction and implantation, alveolar structures were fully preserved without the need for additional augmentation procedures.