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Gum-line control for single anterior immediate implantation



Immediate implantation was the treatment plan. According to un-even gum-line before extraction and for the sake of gum-line control, forced-eruption after #11 root canal treatment was indicated before carring out immediate implantation.
And traumatizing occlusion on #11 resulting from mal-alignment of lower anterior teeth, it was necessary to correct the alignment of lower anterior 6 before implant therapy.


 
















After forced-eruption for the gum-line of #11 about 1.5mm coronal to that of #21 and an ideal position of lower anterior 6, it was time to carried out immediate implantation.







taking a study cast to fabricate provisional crown extra-orally


















setting up the temporary abutment




putting on the provisional crown on the temporary abutment and connecting them with light-cured composite resin




removing the device and mimicking the emergence profile extra-orally with light-cured composite resin




setting back this device to the fixture and sealong the accessing hole with composite resin then adjusting the occlusion to free contact during functional movement.








6-month after implantation, time to setting the final prosthesis


























7-year after implantation




before treatment


7-year after treatment


 


 

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