#30 Immediate #31 Delayed Implants

A 59-year-old man has subgingival fracture of the lingual cusps of the tooth #30 (Fig.1) with PARL, especially of the mesial root (Fig.2).  An immediate implant will be placed slightly distolingually (Fig.3), while the delayed implant at #31 will be placed in a restorative position (Fig.4).  Treat plan orthodontic intrusion of the tooth #2 if the latter is salvageable with periodontal lesion (Fig.1).  Keep the tooth #1 in case bands and segmental wire are needed.  It will be extracted prior to impression.  After extraction, place a bony anchor pin at #31 for #30 osteotomy.  When an implant is placed at #30, place a fixture anchor pin and finish osteotomy at #31.

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Xin Wei, DDS, PhD, MS 1st edition 11/27/2018, last revision 01/12/2019