Case Summary 🔎
Patient Information
Chief Complaint(C.C): Upper right side feels sore when chewing, and it doesn’t seem to hold any pressure.
Diagnosis: Caries under #14 crown & positive percussion response (++)
Treatment Plan
Extraction of tooth #14
Bone graft
Immediate placement of a Ø4.5mm implant
Immediate loading using Magic i temp
Results
Extraction of #14 was performed due to subgingival and root caries.
#14 Immediate placement & Immediate loading
Implant size: IT-III Ø4.5x11mm / G.collar 1.8mm
Bone density : D333(C3M3I3)
ITV : 40N
ISTV : 87
Case Presentation
1️⃣ Pre-Op
Pre-Op X-ray & Intraoral Photo
2️⃣ Surgery
1) #14 extraction
The internal structure of the crown has decayed, resulting in a separation from the post. To preserve the papilla, the periodontal ligament was severed using an explorer, followed by extraction.
2) Drilling protocol
fig 1. After extraction, the implant position was determined with Point Initial drilling.
fig 2, 3. Drilling was performed using drills ranging from Ø2.2 to Ø4.0, and after Ø2.2 drilling, bone density was assessed as D333.
fig 4. Pre-tapping was conducted with a Ø4.5 size Maxy drill, matching the diameter of the fixture, prior to placement.
3) Implant placement: Immediate placement
After pre-tapping with a Maxy drill, an IT-III Ø4.5x11mm implant with a G.collar height of 1.8mm was placed.
The fixture was positioned approximately 3mm below the gingival level.
Immediate loading was applied with an insertion torque of 40N, and implant stability was confirmed with an ISTV of 87 using Anycheck.
4) Bone graft
After connecting the IT abutment, alveolar bone grafting was performed using Neo bone (allograft).
3️⃣ Temporary Prosthetics: Immediate loading
Immediate loading was applied with a temporary crown using Magic i Temp, followed by final polishing and torqued to 30N.
4️⃣ Final Intraoral Photo
After occlusal adjustment, the hole was sealed with Teflon tape and resin to complete the procedure.
