Single Stage Immediate Implant Placements in the Esthetic Zone
This case series report documents 5 successful cases of immediate implant placements into fresh extraction sockets in the esthetic zone, subsequently restored with favourable outcomes. The case selection, treatment planning, surgical protocol, restorative outcomes are presented and discussed.
Good esthetic outcomes of all 5 patients. All patients were very satisfied with the esthetic and functional results of the treatment. Note that patients 3, 4, and 5 have high smile lines with increased gingival show on fully animated smiles.
(a) Patient 1, a 52-year-old man with unrestorable right maxillary lateral incisor. (b and c) Radiographic findings reveal no obvious periapical pathosis and adequate facial bony wall. (d and e) Intact facial socket wall following tooth removal. (f and g) Implant placed as single stage, peri-implant socket space grafted with bioactive glass and collagen plug as crestal socket dressing. (h) Immediate post implant placement X ray. (i and j) One week and 4 months post placement clinical pictures showing uneventful healing. (k) Four months post placement X ray. (l) Final crown with good esthetic outcome.
(a) Patient 2, a 52-year-old man with unrestorable left maxillary canine. (b and c) Radiographic findings reveal no obvious periapical pathosis and adequate facial bony wall. (d and e) Intact facial socket wall following tooth removal, note complicated extraction with tooth delivered in multiple pieces. (f and g) Implant placed as single stage, peri-implant socket space grafted with bioactive glass and collagen plug as crestal socket dressing. (h) Immediate post implant placement X ray. (i and j) One week and 4 months post placement clinical pictures showing uneventful healing. (k) Four months post placement X ray. (l) Final crown with good esthetic outcome.
(a) Patient 3, a 53-year-old woman with unrestorable right maxillary central incisor. (b and c) Radiographic findings reveal no obvious periapical pathosis and adequate facial bony wall. (d and e) Intact facial socket wall following tooth removal. (f and g) Implant placed as single stage, peri-implant socket space grafted with bioactive glass and collagen plug as crestal socket dressing. (h) Immediate post implant placement X ray. (i and j) One week and 3 months post placement clinical pictures showing good healing. (k) Three months post placement X ray. (l) Final crown with good esthetic outcome.
(a) Patient 4, a 48-year-old man with unrestorable right maxillary lateral incisor. (b and c) Radiographic findings reveal no obvious periapical pathosis and adequate facial bony wall. (d and e) Intact facial socket wall following tooth removal. (f and g) Implant placed as single stage, peri-implant socket space grafted with bioactive glass and collagen plug as crestal socket dressing. (h) Immediate post implant placement X ray. (i and j) One week and 3 months post placement clinical pictures showing good healing. (k) Three months post placement X ray. (l) Final crown with good esthetic outcome.
(a) Patient 5, a 25-year-old woman with unrestorable right maxillary central incisor. (b) Radiographic findings reveal no obvious periapical pathosis but note close proximity of the anterior extension of the maxillary sinus. (c and d) Intact facial socket wall following tooth removal. (e and f) Implant placed as single stage, peri-implant socket space grafted with autogenous bone shavings and collagen plug as crestal socket dressing. (g) Immediate post implant placement X ray. (h and i) One week and 6 months post placement clinical pictures showing good healing. (j) Three months post placement X ray. (k) Final crown with good esthetic outcome.
Contributor Notes