Dental Implants: Replacement of a fractured tooth with immediate implant

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Age: 23                                                                 Gender: Male

Type of Case: Replacement of a fractured tooth with immediate implant by socket shielding technique .

Pre Operative:

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opg-before-immediate-dental-impalnts-case-5

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Chief Complaint:   

  • Patient complained of broken upper front tooth

Clinical Findings: 

  • Fracture of tooth at cervical third i.r.t 22
  • RCT treated i.r.t 22

During the procedure:

during-the-procedure-2-dental-impalnts-case-5

osteotomy-site-dental-impalnts-case-5

Alternative Treatment Plan:

  • Extraction followed by grafting and conventional implant i.r.t 22
  • Fixed partial denture wrt 21,22.23
  • Removable partial denture wrt 22.

 

Treatment Plan:

  • Extraction of 22
  • Followed by immediate Implant placent by socket shielding technique i.r.t 22

after-immediate-dental-implant-placement-case-5

temporization-dental-impalnts-case-5

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Treatment Procedure:

  • Pre operative photographs and diagnostic models were obtained.
  • Crown was removed.
  • 22 was extracted leaving a thin layer of enamel and dentin buccally for socket shielding.
  • Implant was placed immediately in the region, followed by immediate temporization using old crown.
  • Implant was left for 3 months to heal.
  • Second stage surgery was carried out and healing abutment was given.
  • Final impressions were made using closed tray implant level impression.
  • Screw retained final prosthesis was delivered.
  • Soft tissue contour was maintained

Post Operative:

after-dental-impalnts-case-5

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Follow up:

  • Every 6 months follow up has been carried out.

after-one-year-dental-impalnts-case-5

 

Treatment Done By:

dr-sujay-gopal

  • Dr. Sujay Gopal BDS, FICOI
  • Dental Surgeon & Implantologist

 

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