What factor would delay immediate placement of an implant for a patient missing an upper right canine tooth?

In the context of immediate implant placement, the specific factor that would delay the procedure is related to the assessment of periodontal health and potential complications. A BPE (Basic Periodontal Examination) score of 2 indicates that there are some minimal signs of periodontal disease, such as bleeding on probing but no significant attachment loss. This score suggests that while the patient may not have severe periodontal issues, there are still aspects of the periodontal status that need to be controlled or treated prior to proceeding with an implant.

For successful implant placement, optimal periodontal health is crucial because the presence of periodontal disease can lead to complications such as infection and implant failure. Therefore, a compromised periodontal condition, as indicated by BPE scores, would necessitate further management before an implant can be considered safe for immediate placement.

The other factors listed, such as bone clearance measurements and the height of the maxillary antrum, can influence implant placement strategies; however, they may not be as critical in delaying the procedure compared to existing periodontal disease indicated by BPE scores. In particular, adequate bone clearance is generally acceptable for implant placement depending on other anatomical considerations, and while the maxillary antrum height could pose challenges, it does not have as direct an effect as untreated periodontal disease would