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