Case 39: "Teeth in few hours" Immediate implant placement and immediate loading plus DSD

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Case 39: "Teeth in few hours" Immediate implant placement and immediate loading plus DSD

 Digital Smile design in 2d is an awesome tool in esthetic zone rehabilitation. Here is a case where there are root stumps in 2.1 and 2.2 with 1.1 being endodontically treated and planned for a crown by the GP. I was asked to complete the plan for implants and restoration of 2.1 and 2.2.

After CBCT analysis and assessment of DSD, an immediate implant placement was decided in 2.1 and 2.2 and based on the primary stability a screw retained provisional crown made of complete composite resin was decided.

The entire procedure was carried out under local anesthesia. Extraction was done atraumatically as possible without the fracture of labial plate. This can be achieved by use of Periotomes. Post extraction, implants were placed and an excellent primary stability was achieved for both the implants. Immediately a temporary screw retained abutment was placed. The system used here was Nobel Active. Then based on the DSD plan, the crown structure was built up free hand with composite resin. The prepared tooth in 1.1 was left out for the GP to complete it and the case was referred back to the GP for completion of crown in 1.1. The patient is to be reviewed after 6 months for the definitive prosthesis in 2.1 and 2.2









This case was done by me at Parasu Dental Hospital, Chennai.

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