The upper biscupid has an oval socket, particularly the first. The
immediate implant is recommended to be placed palatally. When a gingiva-level
implant is used, there is a buccal space. The latter can be closed by
advancing a
flap, which may compromise gingival
esthetics. The best way to
close the remaining socket is to fabricate an
immediate provisional (2). In addition, an upper bicuspid may be in
cosmetic zone. Immediate provisional keeps
bone
graft and the adjacent papillae in place. The 2nd method to keep bone
graft and membrane in place is to install an abutment, which increases physical
retention of perio
dressing. When a bone-level implant is placed, the socket can be closed by soft tissue
graft,
bone graft and
membrane, and
placement of healing abutment with bone graft and membrane. The patient may
wonder why a crown cannot be placed immediately when the immediate implant is stable.
In all, immediate provisional is
in demand. Primary stability is achieved by gaining osteotomy in the new bone (a
long implant) or make the socket larger (a
large implant).
| Soft Tissue Level |
Bone Level |
D implant |
1-Piece |
|
D2
Bone |
Dummy Implant |
Subcrestal Placement |
#13
PRF with Sinus
Lift,
Trajectory Change |
Why |
Small Diameter Implants
2 |
|
Immediate Provisional |
As palatal as Possible,
CT Follow-up |
Off-Axis Implant |
#13 Crack
3.8 or 4x15 mm
Implant |
2 Roots |
Limited Space |
|
Instant Ortho |
Implant Placed 2 week post Extraction |
Keep Partial |
#5 Long Bone:
PA Post 1st
Drill
Soft Bone |
Overload |
4 Prevent Periimplantitis |
|
Abutment &
Periodontal Dressing |
Over-Contoured FPD,
Dual
System |
Fails (From Bicon to Tatum) |
#12,13
Low
Stability |
Long Term F-U |
10,12
Narrow Ridge |
|
Depth & Position |
Fearful Patient,
Narrow Implant |
Socket Preservation,
2,
Redo Crown |
#13 Root Tip Curves
Distal |
|
12 Narrow Space |
|
Next to Infection |
Periimplantitis |
Implant/Root,
Low Torque |
#4
Distally Deviated Root,
Shifting of Implant |
|
|
|
Close Call |
Implant (2) Prior to
Veneers |
Residual
Root,
Placement |
#4 PARO
2 Point Engagement, Done as
Planned |
|
|
|
Depth of Bone Graft |
Tough Decision |
Narrow Pontic,
Low Torque |
#4 Crown Fracture, Next to
PARL,
RPD Clearance |
|
|
|
Long Root
Tapered
Modified |
Periimplantitits
PRF |
Deciduous Tooth,
Expanders |
#4
Extraction Extraction For
A Molar Implant |
|
|
|
Where to
Graft |
#13 Root Fracture,Trajectory
Correction |
Dense Bone,
Sinus Floor |
#4 Vertical Root Fracture
Post Apicoectomy
Long |
|
|
|
Narrow M-D Space,
1-,
2-Piece |
#2,4 FPD Dislodges
Sinus Lift Master Kit |
Trajectory
Sinus Perforation
Screw Retain |
#4 Crack, 4x16 mm
Implant Placed Deep |
|
|
|
Close to
Sinus |
13 Root
Fracture |
UF Long Implants |
12,13 Sinus
Lift for 14,15 Implants |
|
|
|
Curved Root
No
Drill |
5 Occlusal Trauma & Endo Failure |
Narrow Edentulous Space
Narrow
Implant |
12 Short Bone/High Torque Implant |
|
|
|
Under
Prep Change
Position |
12
Residual Roots |
Sinus Septum |
#12
Endo Failure with Perio/Bruxism
Deep Placement |
|
|
|
Improvement
Modification |
4
Sinus Membrane Repair |
Crack Tooth;
Sinus Lift |
#13
Unlimited Bone, But
Soft |
|
|
|
Sinus Septum |
2 4
UF
Guide for Tatum |
Long
Implant Placed in
Uneven Bone |
13 2 sockets PARL |
5 Root Amputation |
13 Osteogen Plug |
|
Dense
Bone
Early PA,
Redo Plan,
Redo |
5
Prevent
Periimplantitis |
Sinus Septum,
Unintentional
Sinus Lift |
13 Sterile Sinus
Lift |
|
|
|
Density
Extra Measure,
Buccal Margin |
5 Residual Root Narrow Implant |
Long Implant
Shy of Sinus |
3,4
Loose Bone Guide
No Tap |
|
|
|
Two
Adjacent Implants
No Prep |
2-4 FPD Failure |
Socket Shield,
Increase
Vertical Height |
12
Buccal Perforation |
|
|
|
|
|
Improve Implant/Bone Ratio |
13 Sinus Lift 15 mm Implant |
|
|
|
|
|
Immediate Implant
without
Drill |
4,12
Large Defects, Large Implants |
|
|
|
|
|
Change Trajectory
Early |
5
Crack Palatal Subgingival |
|
|
|
|
|
Long, Narrow
Implant Placed
Deep |
13
Immed,14 Delayed
Deviation of Trajectory |
|
|
|
|
|
#3,4 Residual Roots:Underprep No Prep |
13
Immediate
15 Delayed
Implants |
|
|
|
|
|
#4,5
Long Implants, Less is
More |
3,4
Buccal
Recession |
|
|
|
|
|
#5 Curved
Root, Smoker |
13
Distopalatal
Entry |
|
|
|
|
|
#4 Post-Induced
Root Split
5 mm Implant |
4
Post
2 Fistulae |
|
|
|
|
|
#13 Increased
PDL
Sinus Floor
Perforation |
13 Possible Root Fracture |
13-15
No More FPD |
|
|
|
|
Failing FPD 2-4,
Dual Modes |
|
4 Buccal Apical Defect |
|