Immediate loading after extraction - implantation

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Presentation transcript:

Immediate loading after extraction - implantation CASE # 3 Mrs D B Central right replaced

Tooth #21 extracted , Cortex dental Saturn implant in place Dealing with axis as we drill is important for the choice of the abutment FL 06/2011

Implant deep in place Due to buccal bone loss, implant is very deeply inserted. Zirconium abutment is good to let connections from gingiva FL 06/2011

TAV dental 15° 2mm high abutment FL 06/2011

TAV dental abutment screwed in position Torque applied is 32 Ncm FL 06/2011

Temporary cement in the screw access to let acrylic temporary crown to be done FL 06/2011

Using the own patient’s tooth relined Margin with abutment is done with composite easy to be well polished or glazed FL 06/2011

Stiches loose and NO cement Tooth back !!! Stiches loose and NO cement FL 06/2011

Occlusal- palatal view Loose stiches let more papilla to be gained FL 06/2011

INITIAL VIEW WITH TEMP CROWN CEMENTED ON ROOT Initial problem is fractured crown. Patient is reffered by dentist with acrylic temp in place FL 06/2011

INITIAL FL 06/2011

Shows remaining bone for implant length and drilling axis SCAN VIEW Shows remaining bone for implant length and drilling axis FL 06/2011

Buccal side of the root is broken , same with the buccal bone OCCLUSAL VIEW Buccal side of the root is broken , same with the buccal bone FL 06/2011

EXTRACTED TOOTH WITH ACRYLIC TEMP Strange axis as seen with the scanner image FL 06/2011

Drilling along axis project with scan view 16 mm implant is set in place FL 06/2011

Cortex Implant Saturn 16 mmx4,20 in place Buccal bone crest has been lost.Zirconium abutment let gingiva best healing and adaptation FL 06/2011

TAV Dental straight abutment FL 06/2011

Screwed with 32 Ncm torque Initial torque is permited by strong stability of the implant FL 06/2011

Occusal view showing good axis and central position FL 06/2011

Reduction of the abutment with special given diamond bur Abundant irrigation flow is necessary during grinding FL 06/2011

NO CEMENT, NO IRRITATION Healing at D+ 8 days Acrylic relined temp in place FL 06/2011

Tooth versus Implant FL 06/2011