Grafting Following Immediate Implant (Photos Provided by Xue Steven, DDS)

The tooth #13 appears to be affected by periodontits and occlusal trauma (Fig.1*).  After using a periotome (Fig.2), the tooth is extracted (Fig.3).  The buccal flap is raised (Fig.4).  Gingival graft is to be harvested from the site of #15 (Fig.5).  The tissue is elevated buccally (Fig.6) and separated (Fig.7).  The donor site is covered by a collagen membrane (Fig.8*).  A diamond bur is used to induce bleeding from the socket (Fig.9*).  Osteotomy is initiated (Fig.10) and enlarged (Fig.11,12).  A tapered implant is being placed (Fig.13-15) following internal sinus lift (Fig.16,17).  The implant is placed subcrestally, followed by bone graft (Fig.18), soft tissue graft (Fig.19), and suturing (Fig.20 <, Fig.21).

Upper Molar, Premolar Immediate Implants

Xin Wei, DDS, PhD, MS 1st edition 02/16/2014, last revision 01/19/2018