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When she returns, the tooth #4 has palatal subgingival oblique fracture (Fig.3 <), interfering with mastication. Due to emergency, free hand immediate implant is planned. The buccal apical defect (Fig.3 *) will be repaired with PRF membrane (x1) and allograft after osteotomy (with gauze in place). A SM implant (4.1 or 4.5x12 or 14 mm) will be placed (to counter bruxism) with possible sinus lift. Prepare 4.0 and 4.5x13 mm IBS dummy implant for osteotomy depth confirmation and stability.
Xin Wei, DDS, PhD, MS 1st edition 08/17/2019, last revision 08/18/2019