#14 Immediate Placement with Immediate Loading of IT Fixture
- GAO
- Oct 10, 2024
- 2 min read
Updated: May 16
Case Summary 🔎
Patient Information
Chief Complaint(C.C): Upper right side feels sore when chewing, and it doesn’t seem to hold any pressure.
Diagnosis: Caries under #14 crown & positive percussion response (++)
Treatment Plan
Extraction of tooth #14
Bone graft
Immediate placement of a Ø4.5mm implant
Immediate loading using Magic i temp
Results
Extraction of #14 was performed due to subgingival and root caries.
#14 Immediate placement & Immediate loading
Implant size: IT-III Ø4.5x11mm / G.collar 1.8mm
Bone density : D333(C3M3I3)
ITV : 40N
ISTV : 87
Case Presentation
1️⃣ Pre-Op
Pre-Op X-ray & Intraoral Photo
2️⃣ Surgery
1) #14 extraction
The internal structure of the crown has decayed, resulting in a separation from the post. To preserve the papilla, the periodontal ligament was severed using an explorer, followed by extraction.
2) Drilling protocol
fig 1. After extraction, the implant position was determined with Point Initial drilling.
fig 2, 3. Undersize drilling was performed using drills ranging from Ø2.2 to Ø4.0, and after Ø2.2 drilling. The bone density determined through Ø2.2 drilling is classified as D333, indicating soft bone.
fig 4. Pre-tapping was conducted with a Ø4.5 size Maxy drill, matching the diameter of the fixture, prior to placement.
3) Implant placement: Immediate placement
After pre-tapping with a Maxy drill, an IT-III Ø4.5x11mm implant with a G.collar height of 1.8mm was placed.
The fixture was placed precisely at the pre-tapped location, achieving a stability of 40 N/cm. For optimal aesthetics, it was positioned 3 mm below the gingiva.
With an initial torque value (ITV) of 40 N/cm and an implant stability test value (ISTV) of 87 using Anycheck, immediate loading was successfully performed.
4) Bone graft
After connecting the IT abutment, alveolar bone grafting was performed using Neo bone (allograft).
3️⃣ Temporary Prosthetics: Immediate loading
Immediate loading with uncured resin implant crown using Magic i Temp, followed by final polishing and then tightened to 30N.
🦷 Magic i Temp
[Reduced Chair Time]
Enables quick and accurate fabrication directly within the clinic, even by less experienced personnel.
[Exceptional Strength and Shade]
Higher strength compared to conventional mixing types (Powder + Liquid).
Consistent A2 shade for aesthetic uniformity.
[Optimized Convenience]
Easily shaped and manipulated using a pre-polymerized, light-curing resin with a natural tooth-like contour.
Hexagonal-tipped post allows easy intraoral placement and secure attachment.
[Comprehensive Line-up]
Available in six types for precise application based on implant position: Maxillary central incisor, maxillary lateral incisor, mandibular incisor, canine, premolar, molar.
Each type comes in three sizes (S/M/L), minimizing additional adjustments.
4️⃣ Final Intraoral Photo
After occlusal adjustment, the hole was sealed with Teflon tape and resin to complete the procedure.
5️⃣ Clinical Video
💡 Explore the comprehensive surgical procedure in the video below to gain a deeper understanding.
Comments