Immediate Implant for Front Tooth

Mrs. Ren (in her late forties, referred by her husband) has a severe infection (Fig.1 *) in a front tooth (#10).  X-ray shows that there is a root tip abscess (Fig.2 *).  The tooth should be extracted and replaced immediately by an implant (Fig.3). To have a new tooth for the patient to walk around, an abutment (a post) is fixed immediately (Fig.4,5) and a temporary crown is cemented over the abutment instantly (Fig.6,7).  When she leaves our dental office, she has a fixed tooth.  Pain is a history shortly.  Within one week, the infection is gone (Fig.8,9).

Another striking advantage of an immediate crown is that it keeps the gums in great shape: Fig.10,12 are taken 5 months after surgery.  The abutment is modified for final impression of a permanent crown (compare arrowheads in Fig.11 to 12).  In fact the permanent crown has been cemented.  Mrs. Ren is much pleased.  After photos will be taken in her next visit to our office.

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Xin Wei, DDS, PhD, MS 1st edition 12/21/2013, last revision 08/10/2014