Introduction to Upper Canine Immediate Implants and Immediate Provisionals (Anatomy)

Immediate implants for the upper canines are relatively not common, because they are the strongest teeth in the mouth.  Congenital missing is the most common.  Orthodontic treatment is usually required prior to implant placement.  Due to lack of function associated with the decidual teeth, the bone density is low.  Osteotomes are used for bone compaction and osteotomy.  When the mesiodistal space is limited, one-piece implant is recommended.

Non-Immediate Implant, Immediate Provisional Immediate Implant, Immediate Provisional
Features Plan Surgery Outcome Features Plan Surgery Outcome
Congenital Missing   1 Piece Implant   Deciduous (right) Early Case of Immediate Implant without Immediate Provisional
Severe Atrophy One Stage Bone Graft 1st Block Graft   Deciduous (Left) Demise Not Expected, Repair Buccal Plate 2nd Placement 
Delayed Implant Bone Expansion Possible Buccal Plate Perforation Fibrointegration Lateral & Canine CT 1 & 2 Piece Implants, Margin  
Healed Site Atrophic Ridge Narrow Long Implant   Severe Recession Membrane/Grafts Palatal Insertion  
6,7 Narrow Ridge Post Graft Guide Lower Socket Border Engagement   Fracture Temporary Abutment Length and Change in Position  
11 Osteogen Plug Socket Preservation     Residual Root X-ray taking Over prep, Low Torque  
        UR Failed FPD Emergency Conversion 4 Walled Defect, 2nd stage  
        Subgingival Fracture Long Bone-Level Implant Soft Bone-Underprep  
        RPD Abutment 18 mm UF Implant Difficult Socket Shield  
        Poor Dentition Preventive Measures Narrow Mesiodistal Space  
        Gingiva Island Keep or Remove it? Occlusal & RPD Clearances Redo
        Deciduous, Fractured Varied Bone Density    
        Retainer Fracture Long Implant at #6 Socket Shield  
        #11 Equigingival Fracture Socket Shield Has to be Done  
        6 Socket Shield 7 1-Piece    
        2 Possible Root 6 Bone Height Buccal Perforation Removal Redo Partial Guide
        6 Curved Root Thin Buccal Plate    
        11 Possible Vertical Root Fracture Temporary Abutment  
        11-14 Dislodged FPD Various Width/Height And Density  
        11 Narrow Apical Bone Narrow Implant Socket Shield Prevents Atrophy Remove
        11 Residual Root Bite Collapse 2.5x14(2) mm 1-Piece Implant  
        C, H mobility Angled Abutments Shield    

Return to Immediate Implants

Xin Wei, DDS, PhD, MS 1st edition 02/28/2013, last revision 01/02/2020