Fig. 1: Radiograph demonstrating alveolar fracture adjacent to mobile maxillary right canine.
Fig. 2: Implant placed into osteotomy at immediate extraction site at the right maxillary canine with buccal flap (left and middle) and primary closure of the site (right).
Fig. 3: Closed tray impression coping placed into the implant (left), radiograph to verify part mating (center) and healing abutment placed (right).
Fig. 4: Soft-tissue model with analog and completed cast abutment-crown ready for cementation into the implant intraorally.
Fig. 5: Completed and luted abutment-crown intraorally.
Fig. 6: Case 26-months post-insertion of the abutment-crown demonstrating good gingival health with a lack of inflammation.
Fig. 7: Radiograph at 26-months post-insertion demonstrating maintenance of bone at the same level as at insertion with no evidence of periimplantitis.
Fig. 8: Clinical examination with endodontic file in the right maxillary canine (left) and radiograph demonstrating apical pathology at the mobile tooth (right).
Fig. 9: Diamond being used on the residual root (a) to atraumatically extract the root, implant being inserted into the osteotomy (b), implant placed subcrestally (c) and site closed by primary intention (d).
Fig. 10: Patient at initiation of restorative phase showing lack of inflammation at previously placed implant (a), tissue punch being used to expose the implant (b) and uncovery of the cover screw (c).
Fig. 11: Radiograph of the implant at initiation of the restorative phase (top and bottom right) and after placement of healing abutment (bottom left).
Fig. 12: Closed tray impression head placed onto implant to take impression (bottom left) and healing abutment in place (top right).
Fig. 13: Virtual cast with analog created using digital scanning of the soft-tissue model ready for virtual design of the restoration.
Fig. 14: Completed CAD/CAM metal abutment and zirconia crown (top) and the abutment on the soft-tissue model (bottom left) and with crown inserted over the abutment (bottom right).
Fig. 15: Radiographs at abutment placement.
Fig. 16: Completed restoration seven months post-insertion demonstrating a lack of soft-tissue inflammation.
Fig. 17: Completed restoration 10 months post-insertion demonstrating a lack of soft-tissue inflammation.
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