ABSTRACT
Background(s): The COVID-19 pandemic has had many impacts on dental care, especially in cases of implant treatment with two-stage procedures which require a lot of visiting time. The second stage of the implant procedure which is usually performed 3 months after insertion aims to achieve osseointegration between bone and implant. But during the pandemic, the follow-up treatment of dental implants has been delayed to comply with the government-issued policy to restrict any dental care. This case report aims to evaluate the clinical condition that occurred due to the second-stage implant procedure delay. Case report(s): Two cases in patients of different sex and age have presented different bone surfaces after a 13-month delay of implant placement in the lower left region. The first case was a 43 years old woman who had implants placed in a case of long-standing tooth loss. After 13 months of delay, no bone formation closure was found on the surface of the cover screw. In the second case was a 31 years old man who had an implant placed on an extracted tooth after a failed root canal treatment, 5 months after extraction. After 13 months of delay, it was found that the cover screw was completely covered by bone formation and was not visually visible. Case Management(s): The first case, the cover screw can be easily accessed and continued with further treatment. Whereas in the second case, bone removal is required with radiographic guidance and surgical templates to find the cover screw that has been installed and proceed to the completion stage. Conclusion(s): A well-planned treatment and good communication with the patient are essential when delaying the second stage of implant treatment. The delay does not cause significant difficulties in the process of completing the implant installation.
