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

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