Central Incisor Horizontal Fractureat bone level

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Central Incisor Horizontal Fracture at bone level

High Lip line, indicating a need for high level oftissue managment

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Central Incisor Horizontal Fracture at bone level

An extraction and immediate Implantation with Paltop Concave single unit abutment is an optimum solutionWith the aim of conserving adjacent Papillae and Developing Maximum Soft tissue for Later ManipulationA use of a standard abutment may result in diminished tissue and require consecutive tissue graft.

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Central Incisor Horizontal Fracture at bone level

Surgical & Restorative Procedure:Coronal tooth part easily Removed, a Vertical Fracture is also Visible

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Central Incisor Horizontal Fracture at bone level

An Atraumatic extraction preformed utilizing a Benex deviceRetaining complete papillae

Implant and Concave Trans-gingival part inserted

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Central Incisor Horizontal Fracture at bone level

Bone grafting of buccal gap, Concave trans-gigival part already in place.Concave part can be either a healing abutment unit for non-loading procedure, which will help conserve papillae and maximize soft tissue for later Manipulation, Or an immediate concave Single Unit abutment for immediate loading.A single unit gives the advantage of non-removal trans-gigival part. Thus maximizing healing tissue and implant neck health.

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Central Incisor Horizontal Fracture at bone level

Result of Provisionaliztion at the Day of Implantation

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Central Incisor Horizontal Fracture at bone level

Result of Provisionaliztion at the Day of Implantation. Palatal View

Healing process after 3 months

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Central Incisor Horizontal Fracture at bone level

Paltop Concave transfer registration will give a good copy of the implant position and soft tissue An excess of soft-tissue

Healing of Soft Tissue

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Central Incisor Horizontal Fracture at bone level

3D Planned

3-D planning of screwed Zirconia abutment,

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Central Incisor Horizontal Fracture at bone level

Zirconia CAD abutment and emax crown that will be pressed to it.Zirc-Press

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Central Incisor Horizontal Fracture at bone level

Zi-Custom frame work try In

Zi-Custom frame work try In

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Central Incisor Horizontal Fracture at bone level

Zirc-Pressed Emax CrownScrew Retained

Zirc-Pressed Emax CrownScrew Retained

Final Screwed Emax pressed to Zi crown

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Central Incisor Horizontal Fracture at bone level

Final Crown

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Central Incisor Horizontal Fracture at bone level

Final Crown