Immediate placement and provisionalization of an implant
Immediate placement and provisionalization of an implant after removal of an impacted maxillary canine: two case reports
Abstract
Single immediate implant replacement is accompanied by excellent survival rates and a favorable esthetic outcome. The objective of this report was to describe a surgical approach for removal of a buccal or palatally located impacted secondary canine, combined with extraction of the failing primary canine, and immediate placement and provisionalization of an implant. A window technique was applied for surgical removal of the impacted canine. The alveolar crest was preserved. After extraction of the primary canine, the implant was inserted with primary stability. Finally, the exposed surfaces of the implant were covered with a 1:1 mixture of autologous bone and Bio-Oss®. At the 1-year evaluation, both implants were successfully osseointegrated and in function. Esthetics were excellent. It is concluded that under premise of preservation of sufficient bone to achieve primary stability of the implant, removal of the canines can be combined with immediate placement and provisionalization of the implant.
Serial posts:
- Immediate placement and provisionalization of an implant
- Background : Immediate placement and provisionalization of an implant
- Case presentation : Immediate placement and provisionalization of an implant (1)
- Case presentation : Immediate placement and provisionalization of an implant (2)
- Case presentation : Immediate placement and provisionalization of an implant (3)
- Case presentation : Immediate placement and provisionalization of an implant (4)
- Discussion : Immediate placement and provisionalization of an implant (4)
- Figure 1. Clinical view showing the failing right primary canine
- Figure 2. CBCT image showing the buccal location of the impacted secondary canine
- Figure 3. The impacted canine has become visible after elevation
- Figure 4. The prepared implant socket and osseous defect
- Figure 5. The implant is placed in the prepared socket
- Figure 6. Situation after implant placement and restoration
- Figure 7. Clinical view immediately after placement of the provisional implant crown
- Figure 8. The screw-retained definitive all-ceramic crown
- Figure 9. Intra-oral radiograph showing the implant 12 months after placement
- Figure 10. Clinical view showing the failing right primary canine
- Figure 11. CBCT image showing the palatal location of the impacted secondary canine
- Figure 12. The impacted canine has become visible
- Figure 13. Situation after implant placement and repair of the bony defect
- Figure 14. Clinical view showing optimal esthetics around the screw-retained definitive all-ceramic crown
- Figure 15. Intra-oral radiograph showing the implant 12 months after placement