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Blue Curved Tubes
#14 Immediate Placement with Immediate Loading of IT Fixture

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.



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