Case Details
This patient was involved in an accident and, as a result, broke his left anterior central incisor tooth. The tooth was determined to be unsavable and will need to be extracted and to be immediately replaced with a dental implant and restoration (crown). In general, fresh tooth extraction sockets will not provide the available bone compared to healed tooth extraction sockets; therefore immediate placement of dental implants after tooth extractions are more delicate and precise. In addition, micro-motion to the dental is avoided during a set period of time to prevent implant failure. As result, when a crown is attached to the immediately placed implant it is made smaller in size in order to prevent any contact with neighboring teeth during the static state (from adjacent teeth) or dynamic state (from other opposing teeth during function such as chewing, eating, speaking, etc). Once the adequate time for healing has occurred, this immediately attached crown, which is temporary, will be replaced by a permanent crown which will be of the ideal size, shape and appearance of a natural tooth.
Before
After
Description: A provisional (temporary) crown is placed onto the immediate placed dental implant and is devoid of all contacts with any other teeth during the healing period. By doing so, a smaller than normal size tooth is created chairside and used.
Before
After
Description: An endosteal (root-form) regular platform internal flat-to-flat 4.2 x 11.5 mm dental implant is placed precisely at a specific location and with the proper primary stability.