Immediate placement and loading in the mandible with the CMI IS II active implant

Pre-operative Situation

- Preoperative clinical and x-ray view after the old bridge removal

- #34 root fracture

- Gingival hyperplasia

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#46 remove soft tissue easily and clearly without incision for implantation

4.5*10mm CMI IS ll active implant was placed on #46 with about 30N.CM torque

extraction of #43, #44, #45

4.0*11.5mm CMI IS ll active implant was placed on #44 with about 30N.CM torque and 4.5*10mm CMI IS ll active implant was placed on #43 with about 25N.CM torque, the IS ll active cemented abutment was tighted with 15N.CM torque

Extraction of #34,#35,#36 and 3.5*11.5mm CMI IS ll active implant was placed on #41 with about 30N.CM torque, the abutment was tighted with 15N.CM torque

4.5*10mm CMI IS ll active implant was placed on #36 with about 35N.CM torque, 4.0*11.5mm CMI IS ll active implant was placed on #34 with about 25N.CM torque, 4.5*10mm CMI IS ll active implant was placed on #33 with about 35N.CM torque, all the abutment was tighted with 15N.CM torque

Postoperative clinical view and radiographic photograph

Immediate impression

After 24 hours the clinical review of the wound the denture was weared and using the zinc oxide for fixation

After two months the clinical and x-ray view

The clinical and x-ray view after the transfer bar was inserted the Implant

Install guide abutment and mental basement

Clinical view of final restoration delivered and panoramic tomography

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Conclusion

A case presented with severe gingival hyperplasia and #34 root fracture. The hopeless teeth including #34 root were extracted and immediate transitions were made. CMI IS ll active implants were used to replace the natural teeth.