Immediate Placement in the maxillary anterior site

*Click on the picture to enlarge.

허영구 원장님 Dr. Heo

Author
Dr. Young-Ku Heo, DDS, MSD, Ph.D

Director of Global Academy of Osseointegration
Seoul, Korea



1
At the site of #11, 21 and 22, there is a periapical radiolucency and bone loss as well.

[Patient information]
- 39 year-old
- Male
- PDH: None

[Treatment Plan]
1. Extraction of #21 due to tooth mobility
2. After 3 months, extraction of #11 and #22 for immediate placement
3. 2 implants will be placed at the same day of extraction
2
#21 was extracted ahead of implant placement because of tooth mobility.

3
Original crown was attached to the adjacent teeth using flow resin.

4
After 2 months, #11 and #22 was extracted for immediate placement.

5
Extraction of #11 and #22 for immediate placement.

6
Neo NaviGuide was placed in the mouth.

7
Bone Trimmer was used in removing residual alveolar bone and flattening the bone level.

8
Point Drill was used for initial drilling at 1,200rpm.

9
Ø2.2 drill (200rpm)

10
Ø3.0 drill (200rpm)

11
Ø3.5 drill (50rpm) for final drilling

12
IS-III active Ø4.0*13mm was placed in the extraction socket of #11 and #22. The precision guide allowed exact placement of the implant as planned.

13
Both implants were placed in the right position. But since there’s dehiscence defect on buccal area of #22, bone grafting is required.

14
Healing abutments(Ø6.0*4.0mm) were connected to the fixtures on both sides and bone graft was performed using Regenoss

15
Post-op panorama showing proper direction of implants.

16
The prosthesis was positioned properly and the gingival margin was well adapted to the crown contour.

17
A panoramic and periapical radiograph was taken right after the final delivery of the prosthesis.

18
1.4 year follow-up radiograph. No bone loss and no clinical symptoms were observed.

This case done by Dr. Young-Ku Heo shows successfully placed Neobiotech IS-III implant on the site of #11 and #22.

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