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Immediate loading after extraction - implantation
• CASE #2• MR X G, 38• Central right replaced
May be late request
FL 06/2011
Internal resorption led to fractured tooth
Root canal therapy is not the solution
FL 06/2011
FL 06/2011
Two pieces tooth !!
Removal is very fine-surgical move to prevent bone site and specially on the buccal side.
FL 06/2011
Palatal direction for drilling in bone
Buccal bone loss drive to palatal axis to have good stabilization . At this stage we have to deal with differents angulated abutments and differents collar hights when choosing drilling axis
FL 06/2011
Cortex Saturn implant is inserted
Titanium post is removed , to be replaced by TAV dental zirconium abutment
FL 06/2011
15° angulated ,2 mm collar TAV dental abutment
Each abutment comes with a single use bur to avoid pollution of the zirconium
FL 06/2011
Abutment screwed in position torqued 32Ncm
Cement protect the scew and let temp to be done
FL 06/2011
Acrylic temp shaped and polished
FL 06/2011
Temporary crown settled in position
Esthetics might have been better if the case had been taken earlier
FL 06/2011
Good overjet
When we talk about extraction –implantation we have to protect occlusion by a void with antagonists during bone healing, specially with protrusion.It is mostly immediate esthetics and not immediate loading.
FL 06/2011
Connection control
X ray is important to verify axis and connection with implant
FL 06/2011