Immediate Placement and Immediate Loading in the maxillary central incisor

허영구 원장님 Dr. Heo

Author
Dr. Young-Ku Heo, DDS, MDS, PhD

Director of Global Academy of Osseointegration
Seoul, Korea



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Pre-op panorama 

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Pre-op periapical radiograph

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Intra-oral photograph 

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Intra-oral photograph 

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Intra-oral photograph 

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Extraction of #21

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Curettage and irrigation

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Immediately after the extraction of #21

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Point drill (1,200rpm)

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Point drill (1,200rpm)

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Ø 2.2 drill with 10mm stopper->13mm stopper (1,200rpm)
Enough drilling for the implant placement with the appropriate Stopper connected to the drill with irrigation.
If you want to place the implant deeply or adjust the depth, it is good to put a one step longer stopper for over-drilling.


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Ø 3.0 drill with 13mm stopper (1,200rpm)

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Ø 3.5 drill with 13mm stopper (1,200rpm)

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Neobiotech IS-III active 4.0x11.5mm fixture

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Neobiotech IS-III active 4.0x11.5mm fixture was placed in the area of #21.

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The fixture was finally tightened with the torque ratchet.

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Immediate implant placement

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The gab was filled with an allogenic bone (RegenOss™).  

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Post-op periapical radiograph

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A SCRP(Screw-Cement Retained Prosthesis)temporary abutment for IS type was connected.

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A SCRP(Screw-Cement Retained Prosthesis)temporary abutment for IS type was connected.

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Postoperative radiograph of the implant in place with a provisional abutment.

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A provisional crown

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A provisional crown

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A SCRP provisional crown was delivered.

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Frontal view of the patient’s smile.
Temporary restoration provided to the patient on the surgery day reduces the stress caused by the treatment and allows to return to the daily life immediately.


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Provisional restoration was immediately delivered on the day of the surgery. 

Immediate Placement and Immediate Loading in the maxillary central incisor
Click on the image to see clinical video.

This case shows the immediate replacement of #21 with Neobiotech IS-III active implant. Provisional restoration was immediately delivered on the day of the surgery. 

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