Situation
Preoperative Observation
- Missing tooth on #31
- Apical lesion on #41
- Advanced periodontitis on #42
Treatment Planning
- Endodontic treatment on #41
Site #31 following the old bridge removal
Site preparation: Ф1.5mm drill was designed for S-Mini Onebody Implant. The labial aspect was exposed to be grafted.
Φ2x11.5mm S-Mini Onebody Implant
1.5mm deeper placement from the crestal level: 35Ncm of insertion torque was achieved.
#31: GBR done with an allograft material (RegenOss) and a collagen membrane
#42: Immediate placement of Φ2.5mm S-Mini Onebody Implant
The graft closure
Additional bone insertion into the extraction socket
Radiograph taken after the surgery
Immediate loading with an acrylic resin provisional restoration
Impression taking after 3 months of the surgery: With an impression cap, both supragingival and subgingival post can be taken at once.
Closed tray impression
Impression caps shown in the impression
2 modified lab analogs in the stone poured analog bed
Stone dies
4 months after the surgery: A 4 unit FPD was delivered. Gingival recession has occurred on the natural tooth #32 and #41.
Frontal view of the patient’s smile
Radiological 4 months follow-up
3 years follow-up: Well-maintained crestal level
No further gingival recession was found.
Conclusion
This case shows how to make an esthetic result of S-Mini Onebody Implant placement in the anterior mandible. Site #31 was grafted with simultaneous implant placement, and #42 implant was immediate placed in the extraction socket. The PickCap Impression kit was used to make an impression and an acrylic resin provisional restoration was immediately delivered .
Komentar