Clinical Case

Dr Glauco VellosoSpecialist in Periodontology UNESA/RJ; Specialist and MSc in Implantology UNIGRANRIO/RJ;Professor at the Specialization course in Implantology SL Mandic/RJ;Visiting Professor at the post gradua-tion course in Implantology UFF/RJ.

Patient:Male35 years old

Local:Instituto Carioca de Odontologia, Rio de Janeiro, Brazil

Clinical Situation:Agenesis of the upper right lateral incisor;CT scan indicating about 5mm of bone at the buccal/palatal direction;One Facility implant (2.9x10mm) was placed under Immediate loading (placement torque: 40N.cm);

Restorative Solution:Temporary: Anatomical post for Facility of 2.5mm and acrylic temporary crown;Final: Ceramic crowns with Digital Neodent zirconium coping 15 days after surgery;Porcelain veneers composed the final dental esthetic;

Surgery date:12th June, 2014

Total treatment time:1 month.

Initial clinical view of the healed space related to the #22

Initial Situation

Baseline periapical x ray showing small amount of remaining bone at the buccal/palatal direction

Facility

Implant placement Temporary restoration

Periapical image rigth after the surgery

Temporary restoration

Fifteen days after the surgery, the soft tissue periimplant was already healed

Clinical follow up 15 months after the surgery.

Final restoration

Radiografic follow up of 15 months showing tissue maintanance.

Placing one Facility implant of 10 mm in length