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

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