Management of Early Dental Implant Complication: A Report of Two Cases

Background: Early peri-implant complications may appear within a couple of weeks following implant installation. Such complications may compromise implant success and longevity. Prompt identification and treatment of these complexities can prevent complications and implant failure. Case presentation: The study involved two patients referred for implant therapy owing to tooth loss, with no significant medical history. Both patients underwent thorough periodontal and radiographical evaluation to assess the suitability of implant placement. The first patient, a healthy non-smoker, received a Bio horizons implant, while the second, a smoker, received a Nobel implant. Three weeks post dental implant placement, both patients experienced early complications, presenting with swelling and discomfort. Surgical intervention included anesthesia, flap elevation, granulation tissue removal, mechanical cleaning of the im-plant surface using a titanium brush, and filling of bone defects with grafting material (mixture of allograft and xenograft). Postoperative care included antibiotics, pain management, and oral hygiene instruction. After 4 months, the implants were uncovered, and the patients were then referred for the placement of implant crowns. Conclusion: The reconstructive approach employed in these cases appears to be an effective method for managing early biological complications following dental implant installation. The successful restoration of healthy peri-implant tissues was achieved, indicating the potential efficacy of this treatment strategy.