Large radiolucent lesion on lower first molar: immediate implant?

Last Updated September 13, 2017

This patient presented with a large periapical radiolucent lesion and a buccal swelling over the mandibular first molar. I would like to do an immediate implant. I plan to decoronate and split the mesial and distal roots and then extract each one. Then I will debride the socket and place the implant. Or would it be better for me to extract, debride and wait for the site to heal and go back in later? What do you recommend?

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