Abstract
Historically, one of the major reasons for tooth extractions or tooth loss has been severe periodontitis either acute or chronic However, a removable partial denture or a complete denture often produces several problems leading to loss of taste, feeling of premature aging and loss of self confidence. 1,5. Furthermore, from a functional point of view, treated patients may not be able to cope with the removable prostheses during healing phases, due to bad retention of the provisionals, or may even ask for an immediate treatment solution for functional and esthetic reasons. Consequently, there has been a need or at least a wish for the development of routine implant protocols, decreasing or even eliminating the healing periods before loading inserted implants.3 Immediate implant placement and loading of implant reduces treatment time while providing high predictability and excellent esthetic outcome which are goals for the development of dental implant treatment resulting from severe periodontitis would benefit from use of such a treatment modality ,especially if those teeth could be extracted and immediate implant and a prosthesis provided. However ,information regarding immediate implant placement in patient with severe periodontitis has been limited.