Tissue-level Implant

A 53-year-old woman has crack tooth symptom at #3 with apparently a vertical crack line on PA (Fig.1 arrow), suggesting bruxism.  The latter may be easily associated with abutment screw loosening.  To avoid this complication, a tissue-level implant will be placed (Fig.3).  After extraction, the initial depth of osteotomy in the septum will be 7 mm (Fig.2).  Find a pointed drill.  Take preop photos to show the possible buccal crack line.

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Xin Wei, DDS, PhD, MS 1st edition 09/28/2017, last revision 01/19/2018