DELAYED IMPLANT PLACEMENT ON PERIODONTALLY COMPROMISED SINGLE ANTERIOR TOOTH

tan soon teik

Author
Dr. Tan Soon Teik




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- 55 YEARS OLD FEMALE PATIENT COMPLAINING ON MOBILE AND DISPLACED UPPER LEFT CENTRAL INCISOR
- PATIENT IS HEALTHY WITHOUT ANY MEDICAL PROBLEM OR ANY KNOWN ALLERGIES
- PATIENT WISHES TO REPLACE THE COMPROMISED TOOTH NO. 21 WITH AN IMPLANT
- PATIENT DOES NOT WANT ANY AUTOGENOUS BONE OR SOFT TISSUE HARVESTED
- EXTRACTION WITH SOCKET PRESERVATION TO PRESERVE HARD TISSUE
- DELAYED IMPLANT PLACEMENT WITH ANY TISSUE GRAFT IF NECESSARY
- LONG TERM PROVISIONAL CROWN TO REMODEL AND RE-ESTABLISH GINGIVA ZENNITH, INTERDENTAL PAPILLA AND SOFT TISSUE CONTOUR
- FINAL PROSTHESIS WITH CUSTOMIZED ABUTMENT COPYING THE PROFILE OF THE ESTABLISHED SOFT TISSUE SUPPORT
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PRE-OPERATIVE

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PRE-OPERATIVE

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ATRAUMATIC EXTRACTION AND SOCKET CURRATAGE

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COLLAGEN MEMBRANE PLACEMENT

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PRF PREPARATION

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GBR WITH MIXTURE OF ALLOGRAFT AND PRF

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CLOSURE OF SOCKET WITH PRF MEMBRANE

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COMPOSITE BONDED BRIDGE AS PROVISIONAL FOR 4 MONTHS

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HEALING AFTER 4 MONTHS, GOOD SOFT TISSUE

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PRE-OP OPG: BONE DENSITY POOR

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CBCT ASSESSMENT: BONE GRAFT POORLY INTEGRATED

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INCISION AND FLAP OPENING

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BONE IS SOFT WITH MUCH GRANULATION TISSUE

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IMPLANT PLACED SLIGHTLY DEEPER FOR HIGHER PRIMARY STABILITY

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INSERTION TORQUE

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GBR WITH XENOGRAFT

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TENSION FREE PRIMARY CLOSURE

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POST-OPERATIVE OPG

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1 MONTH HEALING

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4 MONTHS HEALING

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CHANGING HEALING ABUTMENT

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PROVISIONAL CROWN FOR 4 MONTHS

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FINAL IMPRESSION

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FINAL IMPRESSION

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FINAL CUSTOMISED ABUTMENT WITH TITANIUM BASE FOR SOFT TISSUE ADHERENCE

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CROWN IN PLACE

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FINAL OPG

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FINAL SMILE

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BEFORE

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AFTER

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