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Immediate loading with VAROGuide #22


Patient information

- Age/Sex: 57y, Female

- Medical history: No known systemic illness

- Diagnosis: #22 Apical periodontits with mobility


Treatment Plan

- #22 Extraction

- Bone graft with DM Bone

- Flapless surgery with VAROGuide

- Immediate Loading of Temporary Crown


Implant

- #22 IT-III active G.collar 1.8 / Diameter Ø4.0 / Length 11mm

 

Before Surgery


implant, VAROGuide, immediate placement, immediate loading, extraction, GAO, esthetic

Pre-operative panorama.

#22 Peri-apical widening and cervical bone loss were seen.


implant, VAROGuide, immediate placement, immediate loading, extraction, GAO, esthetic

Pre-operative intraoral observation.



Atraumatic extraction was done.



VAROGuide was placed in the mouth and step by step drilling was performed.



Since the alveolar bone was hard, full-tapping was performed after drilling.



IT-III Active implant was inserted achieving 40N/cm of initial stability.



implant, VAROGuide, immediate placement, immediate loading, extraction, GAO, esthetic

Bone graft was done with DM Bone (synthetic bone) and healing abutment was connected.



The day of surgery, immediate impression was made using Pickcap impression system.



implant, VAROGuide, immediate placement, immediate loading, extraction, GAO, esthetic

Post-operative intraoral observation.



implant, VAROGuide, immediate placement, immediate loading, extraction, GAO, esthetic

Post-operative PA


 

Final results


Final restoration was delivered after 1 months.


implant, VAROGuide, immediate placement, immediate loading, extraction, GAO, esthetic

Panorama of final restoration delivered










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