Trajectory Correction

The root of the tooth #13 has an oblique fracture as related to a prefabricated post after 9 years of service (Fig.1).  The trajectory of the initial osteotomy (Fig.2) is corrected with Lindamann bur and reuse of 2 mm drill (Fig.3).  A 4x20 mm tissue-level implant is placed with > 60 Ncm, followed by tightening a 3.5x5 mm abutment (Fig.4,5); the mesiobuccal defect being filled with Vera Graft (Fig.4 *).  An immediate provisional is fabricated.   It appears that the implant should have been placed deeper (Fig.6: 5 months postop).

Return to Upper Premolar Immediate Implant, IBS, 14, Follow up

Xin Wei, DDS, PhD, MS 1st edition 09/15/2017, last revision 02/15/2018