Temporary Abutment for Large Soft Tissue Hemisphere

A 39-year-old woman has severe toothache associated with #30 subgingival caries (Fig.1 * distolingual).  To reduce buccal plate perforation, a 4.5x11.5 mm implant will be placed (Fig.2 (bone height 15 mm).  Take PA after parallel pin to make sure that blood supply to the tooth #29 is not compromised.  For easy impression later, a temporary abutment will be used for immediate provisional so that a large soft tissue hemisphere is created.  A cementation abutment is estimated to be 6.5x4(3) mm.  Schedule SRP after implant placement (Fig.1).  In fact the patient declines implant placement and accepts socket preservation (Fig.3 (*: Vanilla Graft)) because of history of hemorrhage associated with #19 extraction (Fig.4).

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Xin Wei, DDS, PhD, MS 1st edition 04/27/2018, last revision 05/07/2018