https://ajdm.altamash.edu.pk/index.php/ojs3 <p><strong><u>About the Journal </u></strong></p> <p>Altamash Journal of Dentistry and Medicine (AJDM), is an open-access multidisciplinary journal. The AJDM is published online bi-annually, it is a peer-review journal of dentistry and medicine. AJDM was established in 2021 to provide a platform for the basic and latest research-based information. (ISSN-P:2790-2978, ISSN-ONLINE: 2958-0692<a href="https://portal.issn.org/resource/ISSN/2790-2978">)</a> <span lang="EN-US"><a href="http://creativecommons.org/licenses/by-nc/4.0/" rel="license">Creative Commons Attribution-NonCommercial 4.0 International License</a>.</span><img style="font-size: 0.875rem;" src="https://i.creativecommons.org/l/by-nc/4.0/88x31.png" alt="Creative Commons License" /></p> <p><strong>No Fees for Processing, Publication, or Priority</strong></p> <p>The Altamash Journal of Dentistry and Medicine (AJDM) proudly announces that there are no processing, publication, or priority charges for manuscripts submitted to the journal. We are committed to promoting medical and dental research by providing a platform that is accessible to all contributors without financial barriers.</p> Altamash Institute of Dental Medicine 2-R, Sunset Boulevard Defense Housing authority-75500 Karachi, Pakistan info@altamash.edu.pk en-US ALTAMASH JOURNAL OF DENTISTRY AND MEDICINE 2790-2978 <p><strong>Altamash Journal of Dentistry and Medicine</strong> is an open-access journal and is licensed under CC BY-NC 4.0. which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</p> <p>To view a copy of this license, visit <em><a href="https://creativecommons.org/licenses/by-nc/4.0" target="_blank" rel="noopener">https://creativecommons.org/licenses/by-nc/4.0</a></em> <img src="http://jbumdc.bahria.edu.pk/public/site/images/jbumdc_admin_bukc/creativelogo1.png" alt="" width="82" height="29" /></p> https://ajdm.altamash.edu.pk/index.php/ojs3/article/view/107 <p>Non-restorable mandibular molars with compromised coronal structure following root canal treatment pose clinical challenges, especially when located near critical anatomy like the inferior alveolar nerve. This case report describes the immediate implant placement in a 25-year-old female nonsmoker with a fractured, non-restorable tooth #36 due to inadequate ferrule (&lt;2 mm). Cone-beam computed tomography (CBCT) revealed sufficient bone volume (16.5 mm vertical height, 6.0 mm buccolingual width) and a 3 mm clearance from the nerve, allowing for safe implant placement. Atraumatic extraction using mid-root separation preserved socket integrity, while osteotomy preparation engaged basal bone 2.5 mm apical to the socket floor. A 4.6 × 11.5 mm bone-level tapered implant achieved primary stability (40 Ncm torque, ISQ 50) and was restored with a transmucosal healing abutment. This approach minimized trauma, preserved alveolar bone, and ensured favorable soft tissue healing. The case highlights the importance of CBCT-guided planning, biologically respectful extraction, and evidence-based implant protocols—including thresholds for primary stability and subcrestal placement—to achieve predictable outcomes. Immediate implants can be a safe and effective solution in complex posterior mandibular cases when guided by precise imaging and minimally invasive techniques.</p> Hawa Bashir Shujah Adil Khan Ahmed Bin Azad Copyright (c) 2026 ALTAMASH JOURNAL OF DENTISTRY AND MEDICINE https://creativecommons.org/licenses/by-nc/4.0 2026-03-02 2026-03-02 4 2 1 7 10.65037/ajdm.2025.041.1