We present the case of a 27-year-old female patient who visited the clinic for a root fracture of the tooth in position 1.1.
Treatment plan
After confirming the poor prognosis of an endo-restorative retreatment, an immediate post-extraction implant procedure with immediate aesthetic loading was digitally planned using static guided surgery.
After a fully guided milling sequence, a 4mm in diameter and 13mm in length Biomimetic Ocean CC implant from Avinent was also placed in a guided manner with an insertion torque of 35N.
In order to compensate for the physiological changes of the post-extraction alveolus, the gap between the buccal bone plate and the implant was filled with particulate xenograft Geistlich Bio-Oss® (Geistlich Pharma AG, Switzerland), and a connective tissue graft from the posterior palate was secured using tunneling.
Finally, the alveolus was sealed with a screw-retained provisional crown extending beyond the clinical crown of the natural tooth on a non-rotating provisional titanium pillar Avinent CC.
After 4 months of healing, a digital record of the case was taken, on one hand, the emergency profile created with the provisional, and on the other, the position of the implant thanks to an Avinent scanning abutment corresponding to the patient’s implant.
For the definitive restoration, a screw-retained cement crown was chosen with a titanium base or interface, and a zirconia crown with layered ceramic cemented extraorally to this interface.
Conclusions of the case
The presented case illustrates the potential of digitization in both the surgical and restorative phases of a demanding aesthetic implantology case.The presented protocol represents a clinical procedure backed by scientific literature and based on solid biological concepts, thorough planning, and meticulous execution from a periodontal and prosthodontics perspective.
