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Immediate Placement in the maxillary anterior site

Patient information & Treatment Plan

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

#21 was extracted ahead of implant placement because of tooth mobility.

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

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

Extraction of #11 and #22 for immediate placement.

Neo NaviGuide was placed in the mouth.

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

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

Ø2.2 drill (200rpm)

Ø3.0 drill (200rpm)

Ø3.5 drill (50rpm) for final drilling

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.

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

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

Post-op panorama showing proper direction of implants.

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

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

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

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