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

2. 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

3. 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

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

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

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

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

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

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

10. 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

11. INITIAL
FL 06/2011

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

13. 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

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

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

16. 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

17. TAV Dental straight abutment
FL 06/2011

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

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

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

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

22. Tooth versus Implant
FL 06/2011