Single Tooth Immediate Placement
Healthy 65 year old female, presented with horizontally fractured, unrestorable 21. She is a non-smoker, with excellent oral hygiene. She was not interested in living with a removable denture.
Once the unrestorable tooth 21 was removed the choice was to do nothing (unlikely), provide a denture, a bridge, or an implant supported crown. As the neighbouring 11 and 22 were heavily restored and weakened, they were therefore poor retainers for a bridge. An implant option was most appropriate in this case.
Treatment Carried Out
The tooth was extracted, and socket assessed. There was no infection present, and the geometry of the extracted root was similar to that of the implant, hence an implant was placed immediately to avoid a second surgical visit. As excellent primary stability was achieved, an immediate provisional restoration was provided.
Time line Implant placed with temporary crown—(wait three months)—Impressions taken for new Porcelain fused to gold crowns—(one month)--Complete
This patient was offered the option of local anaesthetic alone, oral sedation, or Intravenous sedation. As she was not anxious, minor oral sedation along with profound local anaesthetic was used to provide a completely comfortable state.