Immediate implant placement and temporization in the aesthetic zone in the presence of horizontal and vertical bone defect. A case report

ABSTRACT

A 52-year-old male patient presented with an endodontically failed right maxillary central incisor. The patient expressed high esthetic demands "I can't walk away without a tooth, and I can't support any removable appliance". The clinical and radiographic examination revealed according to Elian et al. [2007] a type 2 defect site requiring guided bone regeneration procedure prior to implant placement, moreover the presence of diastema contraindicated any bonded provisional prosthetic solution. After tooth extraction, a localized alveolar ridge deficiency did not prevail the immediate placement of a tapered 5x 13mm diameter dental implant [Full Osseotite tapered implant, Biomet 3i, Palm Beach Garden, Florida] with bane regeneration using xenograft granules of Endobon [Biomet 3i, Palm beach Garden, Florida]. Simultaneously, a temporary platform switching abutment was screw-retained on top of the implant allowing for a four months healing period. Later, the implant demonstrated excellent conditions for impression taking and the final restoration was screw-retained 5 months following implant placement. The immediate implant placement is an ideal treatment option for the proper candidate. Several factors must be taken into consideration to allow clinical success and attain patient's expectations. This case report describes the successful replacement and temporization of a failed maxillary central incisor with a Biomet 3i implant after immediate placement and a bucco-lingual augmentation of the resorbed alveolar ridge