Long Implant with Shield   M

A 63-year-old woman has felt the tooth #7 with a crown and PARL loose for the last 4 months (Fig.1 >).  The crown finally fractures equigingival.  It appears that the best option is extraction and implant (Fig.2).  A 13 mm long implant seems to be short.  A 15 or 16 mm long bone-level or 17 or 20 mm tissue-level one is more appropriate.  To prevent buccal crest and plate loss, socket shield will be performed.  Since the tooth is necrotic, make sure to remove the pulp.

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Xin Wei, DDS, PhD, MS 1st edition 10/10/2019, last revision 02/01/2020