Case 4
Single Tooth Immediate Placement

Patient's History

Healthy 33 year old gentleman, presented with unrestorable tooth 21 due to gross internal resorbtion. He is a non- smoker, with excellent oral hygiene.

Treatment Options

Options once the unrestorable tooth was removed included doing nothing (not ideal as an anterior tooth), a partial acrylic denture, a cantilever bridge from either the 20 year old Cera-One abutment, or another single tooth implant.

Treatment Carried Out

The 21tooh were removed, and due to excellent primary stability being achievable, with good interproximal bone height (Tarnow 1998) a Replace Select implant was placed immediately. 40+ Ncm torque was achieved allowing an immediate provisional restoration to be placed. The patient’s natural crown was used along with a titanium provisional abutment to construct a pleasing provisional restoration.

Abutment screw were torqued finger tight (~15 Ncm) The access cavity were restored with cotton pellet and Cavit. The occlusion was adjusted to give no shim stock hold in ICP and no guidance in protrusion or lateral excursion.

Patient's Experience

This patient was offered the option of local anaesthetic alone, oral sedation, or Intravenous sedation. As he was not anxious, minor oral sedation along with profound local anaesthetic was used to provide a completely comfortable state for treatment to be carried out.

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