Replacement of a Failing Upper Left Central Incisor: Immediate Placement of an RC Bone Level Implant and Provisionalization - Clinical Case Report - Home
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Clinical Case Report
Replacement of a Failing Upper Left Central Incisor: Immediate Placement of an RC Bone Level Implant and Provisionalization
A healthy 23-year-old female patient was referred for a consultation on replacing tooth 21 with an implant-supported restoration. The patient had recently moved to the area and reported a history of endodontic and periodontal treatment for tooth 21. The tooth had been deemed non-restorable by her previous periodontist but since she was going to be moving, he recommended consulting to a dentist in her new city to continue her treatment. A review of her medical history yielded no significant findings and no known drug allergies. The analysis of her smile revealed a medium to high symmetrical smile line and a slightly discolored tooth 21.
Deficient vertically or deficient vertically AND horizontally
* General SAC assessment modifiers that are also part of the ERA. To avoid redundancy they are listed in this section even if no complete ERA has been made.
** Not applicable to the ERA of immediate placement cases and replaced by "Socket Integrity" listed below under "Surgical SAC Classification". For all other placement types this value is a classification determinant and listed here even if no complete ERA has been made.
Surgical SAC classification
SAC Level
Complex
Defining Characteristics
One missing tooth to be replaced by an implant-borne prosthesis
Modality
-
Placement Protocol
Immediate implant placement
Tooth Site
Maxillary incisor or canine
Socket Morphology
Single-root socket
Socket Integrity
Damage to one or more bone walls
Bone Volume
Damage to one or more socket walls
Anatomic Risk
Low
Esthetic Risk
Medium
Complexity
Moderate
Risk of Complications
High
Prosthodontic SAC classification
SAC Level
Advanced
Defining Characteristics
One missing tooth to be replaced by an implant-borne crown
Loading Protocol
Immediate
Retention
Cemented, with prosthesis margin < 3mm submucosal Cemented, with prosthesis margin < 3mm submucosal
Maxillomandibular Relationship
Angle Class I and III
Mesio-Distal Space
Symmetry +/- 1 mm of contra-lateral tooth
Inter-Arch Distance
-
Bruxism
-
Esthetic Risk
Medium
Provisional Implant-Supported Prosthesis
Prosthodontic margin < 3 mm apical to mucosal margin Prosthodontic margin < 3 mm apical to mucosal margin
Interim Prosthesis during Healing
- -
Occlusion/Articulation
-
Occlusal Scheme/Issues
-
Surgical SAC Modifiers
Periodontal Status
Healthy
Prosthodontic SAC Modifiers
Soft Tissue Contour and Volume
Ideal
General SAC Modifiers
Oral Hygiene and Compliance
Good
Access
Adequate
Craniofacial/Skeletal Growth
Completed
Publication date: Jan 8, 2018
Last review date: Jan 1, 2021
Next review date: Jan 1, 2024
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