Early two-stage implant placement in region 46: Pemasangan implan gigi dengan teknik delayed two-stage pada regio 46

Aditya Priagung Prakosa (Profesi Dokter Gigi, Fakultas Kedokteran, Universitas Jenderal Soedirman , Purwokerto, Indonesia)
Elfina Sara Raharjo (Mahasiswa Profesi Dokter Gigi, Fakultas Kedokteran, Universitas Jenderal Soedirman, Purwokerto, Indonesia)
Rizki Bagus Priharnanto (Mahasiswa Profesi Dokter Gigi, Fakultas Kedokteran, Universitas Jenderal Soedirman, Purwokerto, Indonesia)

MDJ (Makassar Dental Journal)
Vol. 15 No. 2 (2026): Volume 15 Issue 2 August 2026

The presence of infection at the extraction site can affect the timing of implant placement and the success of treatment. This case report describes the ma-nagement of the loss of the right lower first molar using the early two-stage implant placement technique following a change in the treatment plan. A 25-year-old man presented with a residual root of tooth 46 and wished to undergo rehabilitation using implants. Clinical examinations and CBCT scans were performed for treatment planning. Immediate implant placement was initially planned; however, an abscess was discovered during extraction, leading to a change in the plan to early implant placement. Following an eight-week healing period, the implant was placed using a two-stage surgical technique, followed by the place-ment of a healing abutment and a final restoration in the form of a screw-retained crown. Clinical and radiographic evaluation demonstrated good healing and implant stability. It was concluded that the early two-stage implant placement technique yields good clinical results in areas with a history of local infection when supported by an appropriate treatment plan and an adequate healing period.