Bone-level Implant and Temporary Abutment

Recently tissue-level implants have been used successfully for upper canines (1 , 2).  The prominent feature of the implants is the length (20 mm) with primary stability.  Although the longest bone-level implant is 14 mm, the advantage of the latter is its temporary abutment.  With it, the tissue forms beautifully with a central incisor.  A 43-year-old man fractures #6 (Fig.1: red dashed line: nasal floor).  Although a 5x20 mm tissue-level implant is a good option (Fig.2), a 5x14 mm bone-level implant should be able to achieve primary stability (Fig.3).  Anyway, either implant should be placed as palatal as possible, particularly for bone-level one, because the temporary abutment should exit palatal to the incisal edge.  If position or angulation of the bone-level implant is not ideal, an angled abutment will be used.  Check occlusion carefully before and after immediate provisional cementation.  Is the 5x14 mm implant long enough?

Return to Upper Canine Immediate Implant Xin Wei, DDS, PhD, MS 1st edition 05/12/2015, last revision 02/03/2019