This case illustrates immediate placement if properly executed can be a predictable option in implant dentistry. A key ingredient is bone preservation combined with expansion. This can be accomplished with various tools such as compactors and rotary osteotomes. I have used all of these tools and found the Densah Burs to be easiest and most predictable.

Note preservation of furca bone with sectioning of the tooth

Arrow points to where the expansion of the furca bone will be achieved

Bone is compacted and preserved

Densah Burs used in counterclockwise direction expand and compact not remove bone

voids filled with Encore bone

Enlarged healing abutment models tissue from day of surgery

BSB tissue level 4.8×10

UCLA__PFM screw retained crown

9 month follow-up

9 month follow-up

Leave a Reply

Your email address will not be published.