Case 3
Single Tooth Immediate Placement

Patient's History

Healthy 45 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.

Treatment Options

Once the unrestorable tooth 13 was removed the choice was to do nothing, provide a denture, a bridge, or an implant supported crown. As the neighbouring 11 and 22 were non-vital and therefore poor retainers for a bridge, the 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 Implants placed with temporary crown—(wait three months)—Impressions taken for bridgework—(one month)--Complete

Patient's Experience

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.

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