The fundamental change that has swept periodontal therapy is unprecedented -
from "saving the tooth" being the end goal to a holistic approach focused on aesthetics, function and longevity of implants even if it means extraction of "maintainable" teeth is truly a paradigm shift in dentistry. Success of an implant osseointegration depends on the quality and quantity of interfacial bone, both of which are compromised in patients of periodontitis and diabetes.
Material and Method: In this case report, a diabetic 34 year patient with severely mobile lower anterior teeth that had hopeless prognosis was treated with immediate implant placement along with freeze dried bone allograft mixed with i-PRF for regeneration and delayed loading.
Result: After 6 months of surgery, excellent bone regeneration was seen around the implants. This was followed by screw retained prosthesis placement in that area.
The one year follow up after the prosthesis was delivered showed minimal bone loss and good functional and aesthetic maintenance of the implants.
Conclusion: Prosthetic rehabilitation of medically compromised patients with periodontitis is a possibility with implants with an in-depth knowledge of the tissue reaction to various regenerative modalities.