Indication 4, Case 3 | ITI CENTER

Single tooth gap maxilla

Dr. Thomas von Arx
Oral & Maxillofacial Surgery
Kantonsspital Lucerne (Switzerland)

	A 22-year-old woman sustained a crown-root fracture of her right maxillary incisor and was referred for implant therapy.

	Since the alveolus was not traumatized and due to the relatively small root diameter a simultaneous implant placement was deemed feasible.

	After raising mucoperiosteal flaps on both ridge aspects, the remaining root was carefully removed maintaining the marginal bone.

	A S 4.1/14mm ITI fullbody screw implant was placed 2mm deeper than in a standard transgingival procedure.

	The voids between the implant and the alveolus were filled with autogenous cancellous bone harvested in the retromolar area.

	The implant site was covered with a individually trimmed bioabsorbable membrane.

	Occlusal view eight days postop prior to suture removal.

	Postop radiograph shows the deeply sunk implant allowing a submerged healing.

	A temporary restoration was bonded to the adjacent teeth thus exerting no functional pressure to the implant site..

	Occlusal view three months later shows uneventful soft tissue healing.

	Following implant recovery, a 3mm extension healing cap was inserted.

	Six weeks were awaited for soft tissue healing before the patient was sent back to her general practitioner for crown fabrication.

	The overview shows harmonious hard and soft tissue of the esthetic zone.

	The detailed view depicts a correct emergence profile with healthy peri-implant mucosa.

	Two year follow-up radiograph shows stable peri-implant bone levels.