Periapical Lesions and Immediate Implants

Inclusion Criteria: * To have 1 or more teeth with a chronic periapical lesion that requiring extraction. * The chronic periapical lesion should be determined as an asymptomatic periapical radiolucency with a diameter ranging between 4 and 8 mm. * The patients undergoing tooth extraction must have been treated with an immediate implant placement procedure. * At the time of extraction and implant placement, the neighboring teeth must have had healthy periodontal and periapical status. Exclusion Criteria: * Age younger than 18 years * Any systemic disease or medication that might compromise osseointegration, bone or soft tissue healing * Smoking * Purulent exudate during the extraction * Severe deficiency of soft and/or hard tissue in implant region * Pregnancy * Lactation * History of chemotherapy or radiotherapy * Severe parafunctional habits