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					Immediate loading after
extraction - implantation
• CASE # 3
• Mrs D B
• Central right replaced
Tooth #21 extracted , Cortex dental Saturn implant in place




             Dealing with axis as we drill is important for the
             choice of the abutment

FL 06/2011
Implant deep in place




             Due to buccal bone loss, implant is very deeply
             inserted. Zirconium abutment is good to let
             connections from gingiva

FL 06/2011
TAV dental 15° 2mm high abutment




FL 06/2011
TAV dental abutment screwed in position




             Torque applied is 32 Ncm


FL 06/2011
Temporary cement in the screw access to let acrylic temporary
crown to be done




FL 06/2011
Using the own patient’s tooth relined




             Margin with abutment is done with composite easy
             to be well polished or glazed

FL 06/2011
Tooth back !!!




             Stiches loose and NO cement


FL 06/2011
Occlusal- palatal view




             Loose stiches let more papilla to be gained


FL 06/2011
INITIAL VIEW WITH TEMP CROWN CEMENTED ON ROOT




             Initial problem is fractured crown. Patient is
             reffered by dentist with acrylic temp in place

FL 06/2011
INITIAL




FL 06/2011
SCAN VIEW




             Shows remaining bone for implant length and drilling axis


FL 06/2011
OCCLUSAL VIEW




             Buccal side of the root is broken , same with the
             buccal bone

FL 06/2011
EXTRACTED TOOTH WITH ACRYLIC TEMP




             Strange axis as seen with the scanner image


FL 06/2011
Drilling along axis project with scan view




             16 mm implant is set in place


FL 06/2011
Cortex Implant Saturn 16 mmx4,20 in place




             Buccal bone crest has been lost.Zirconium
             abutment let gingiva best healing and adaptation

FL 06/2011
TAV Dental straight abutment




FL 06/2011
Screwed with 32 Ncm torque




             Initial torque is permited by strong stability of the implant


FL 06/2011
Occusal view showing good axis and central position




FL 06/2011
Reduction of the abutment with special given diamond bur




             Abundant irrigation flow is necessary during grinding


FL 06/2011
NO CEMENT, NO IRRITATION




Acrylic relined temp in place   Healing at D+ 8 days



FL 06/2011
Tooth versus Implant




FL 06/2011

				
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