CLINICAL CASE N.1
Caucasic Women, 52 y.o. no smoker with recurrent abscess in 1.4 asking for immediate prosthesis because of her job.
It’s possible to see from the endooral x-ray and from the panoramic X-ray the longitudinal fracture of the 1.4 covered by a ceramic crown and the important bone loss at the apex of the root. The root is separated into two pieces and it is possible to see from the x-rays the wide bone defect but we can suppose that there is enough space to put a long implant and to achieve a good primary stability. The 1.5 has a deep caries involving the whole root and to preserve the same it is needed to perform a clinical crown lenghtening with height bone loss of minimum 3 mm with a potential aesthetic damage.
Longitudinal fracture of 1.4 with recurrent abscess and deep coronal fracture on the palatinal side of 1.5. Wide bone resorbtion at the apex of 1.4.
Extraction of 1.4 and 1.5 with bone regeneration. Implants in 1.4 and 1.5 with immediate loading
Elevation of the flap Socket after extraction and inflammatory tissue
Vestibolar sight of the defect Evaluation of the depth with a probe to consider primary stability and immediate loading
indicators allows us to check the direction, depth and parallelism
Implant positioning: 4.8mm diameter implant collar positioned
15mm length under bone crest
collagen membrane positioned and filling the bone dehiscence with a
screwed with the prosthetic abutement mix of autologous and eterologus (BioGuide ) bone chips
Suture, complete coverage of the alveolar sockets and provisional angulated abutements 15°ready to receive the provisional prosthesis
Definitive abutments Definitive prosthesis
Rx control after 1 year