Immediate implant placement

Figure 1: Extra oral view of the right lateral incisor showing a traumatic occlusion.

Figure 2: A periapical radiograph showing a horizontal fracture of the root and a limited radiolucency in the apical area.

Figure 3: Implant placed more palatal and extended apically into periapical bone.

Figure 4: Implant stability quotient of 75, indicating a possible immediate loading option.

Firgure 5: Xenograft placed in the buccal hiatus in order to preventing empty spaces and enhancing osseointegration.

Figure 6: Periapical radiograph after implant placement with temporary crown.

Figure 7: Acrylic temporary crown in place.

Figure 8: Clinical photograph showing permanent prosthesis in function.

Figure 9: Clinical photograph at the initial visit, the upper left lateral incisor shows discoloration.

Figure 10: Radiograph showing the resorbed root of the upper left lateral incisor with a limited radiolucency.

Figure 11: Occlusal view after extraction of the resorbed tooth, showing gap between the buccal plate and the implant.

Figure 12: Periapical radiograph after immediate loading of implant by placement of temporary crown, showing a good adaptation and closed margins.

Figure 13: Selection of the abutment was done after evaluating the bony level and gingival thickness

Figure 14: Periapical radiograph taken at the final examination.

Figure 15: The final crown was delivered after the temporary prosthesis was in function for four months.

Figure 16: Clinical photograph showing permanent prosthesis in function after four months of temporary provisional crown.

Figure 17: Four years follow up showing satisfying esthetic results.

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