Author
Dr.MANUEL FEREGRINO MÉNDEZ
Mexico, North America
Master Clinician Course in Implant Dentistry, UCLA School of Dentistry continuing Dental Education, USA
2013 until now: Member of GAO(Global academy of Osseointegration
2007 Volunteer at the Branemark Institute Bauru, Brazil
2006: Speciality in surgery of osseointegrated implants with distinction magna cum laude, Andres bello University, Chile
2005-2004: Perceptorship in Dental Implantology, University of Texas, Health science center at San Antonio, USA
2005 until now: Certificated by Mexican council of Periodontology
2003 until now: Owner of Implantoperio (Implant and periodontics) Clinic and dentist in private practice
2001-2003: Speciality in Periodontics, Intercontinental University, Mexico
Gender: Female
Age: 49
Medical/Dental history: Implant placement on #11 in 2008
Chief complaint: "The upper front teeth are mobile."
Age: 49
Medical/Dental history: Implant placement on #11 in 2008
Chief complaint: "The upper front teeth are mobile."
Diagnosis
11i: It was placed in 2008, and after 12 years she maintains good gum esthetic level
#21 has a fracture at cervical level where it is impossible to restore correctly.
Treatment planning
1. Immediate placement and loading with socket shield technique in #21 2. Maintenance and follow-up in 11i
11i: It was placed in 2008, and after 12 years she maintains good gum esthetic level
#21 has a fracture at cervical level where it is impossible to restore correctly.
Treatment planning
1. Immediate placement and loading with socket shield technique in #21 2. Maintenance and follow-up in 11i
Preparation of socket shield technique with cutting the middle of the root
*Click on the image to see clinical video.
*Click on the image to see clinical video.
Biological drilling in order to obtain autologous bone
*Click on the image to see clinical video.
*Click on the image to see clinical video.
Implant placement, IS-II(Neobiotech, Korea) ø3.5*13mm
*Click on the image to see clinical video.
*Click on the image to see clinical video.
Initial torque was more than 30N/cm.
*Click on the image to see clinical video.
*Click on the image to see clinical video.
Autologous bone collected by biological drilling with Plasma Rich in Growth Factors(PRGF)
*Click on the image to see clinical video.
*Click on the image to see clinical video.
Impression coping and PRGF placement
*Click on the image to see clinical video.
*Click on the image to see clinical video.
Silicon impression
12 hours later, we placed the custom abutment with 20N/cm torque as a final abutment in order to avoid reconnection, and the provisional placement without occlusal contact.
Final restoration after 2 months
Final restoration after 2 months
11i: 12-year F/U
21i: 2-year F/U
21i: 2-year F/U
The socket shield technique and the use of narrow implant ø3.5 looks a predictable way for maintenance of the esthetics and bone crest, and it maintains stable during the follow-up.
This case presents immediate placement and loading with socket shield technique after the extraction of #21.
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