Conservative treatment of postoperative dehiscence associated with immediate implant placement in an atrophic mandible: Case report
DOI:
https://doi.org/10.33448/rsd-v15i5.51082Keywords:
Dental implants, Surgical dehiscence, Photobiomodulation, Atrophic mandible, Wound healing, Oral rehabilitation.Abstract
Osseointegrated implant-supported oral rehabilitation presents high clinical success rates; however, peri-implant complications remain a significant challenge, especially in atrophic mandibles undergoing immediate implant placement. This study aimed to report the conservative management of an extensive postoperative dehiscence in a medically compromised patient. A 61-year-old male patient with diabetes mellitus and systemic arterial hypertension was referred after multiple extractions associated with immediate mandibular implant placement for future lower fixed full-arch rehabilitation. Three days after surgery, extensive surgical dehiscence was observed, with blood clots, areas suggestive of necrosis, and impaired healing. Initially, surgical debridement, copious irrigation, flap repositioning, and resuturing were performed, associated with systemic antibiotic therapy, topical methylene blue, active oxygen gel, and low-level laser photobiomodulation. After recurrence of the dehiscence, conservative management with secondary intention healing was adopted, combined with an intensive photobiomodulation protocol using red and infrared wavelengths and intravascular laser irradiation of blood (ILIB). After 20 days,
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