An Alternative Approach Sequence to Early Implant Placement and Bone Grafting Over Upper Incisor Traumatic Loss in a Malocclusion Patient

Figure 1. Tooth 11 loss caused by dental trauma Intraoral (frontal view) at the first visit to the hospital. Figure 2. Initial periapical radiograph. Figure 3. Initial panoramic radiograph.

Figure 4. Intraoral view of the upper and lower dentition. Figure 5. Temporary resin bonded bridge for tooth 11.

Figure 6. Periapical radiograph taken after placing the implant. Figure 7. (a) Horizontal bony destruction over buccal bone. (b) Autogenous bone chips and a low-substitution bone filler with a resorbable collagen membrane were applied to augment the implant site. Figure 8. Screw-retained provisional crown for soft tissue conditioning. Figure 9. Extraction of tooth 42. Level and alignment stage of the orthodontic treatment. Figure 10. Tooth stripping and enameloplasty was performed.

Figure 11. Width/length ratio of upper central incisor = 0.78. Figure 12. Esthetic score (PES/WES) of tooth 11 final restoration was 16. Figure 13. Two-year follow-up after delivery revealed a stable esthetic treatment outcome. Figure 14. Periapical radiograph taken at 2 years' follow-up. Figure 15. The black line represents the tooth contour before orthodontic therapy, and the green line represents the tooth contour after orthodontic therapy.