Nobel Biocare N1™ Implant with immediate placement in a fresh extraction socket. Atraumatic tooth extraction with immediate implant in a palatal position, then immediate loading using a temporary abutment screwed to the implant.
Patient: 46 years old, female, no significant diseases
Clinical situation: broken tooth #15. The fracture is subcrestal, and the tooth cannot be restored
Surgical solution: tooth extraction and immediate implant placement with immediate loading
Restorative solution: screw-retained temporary acrylic crown, directly connected to the implant
Surgery date: October 5th, 2020
Tooth position: #15
Case courtesy of Dr. Alfonso Caballero de Rodas.
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Initial clinical situation
Situation before the surgery with a visible fracture of tooth #15 (left).
Radiographic image at presentation showing crown fracture on tooth #15 (right).
CBCT maxilla. Good bone foundation in 3 dimensions. No infections.
Digital treatment planning in DTX Studio™ Implant – 13 mm implant and temporary abutment.
DTX Studio™ Implant report:
Nobel Biocare N1™ TiUltra™ TCC RP 4 x 13 mm
Temporary Abutment Nobel Biocare N1™ TCC RP 1.5 mm.
Atraumatic tooth extraction.
Verification of the extraction socket depth – confirmed 15 mm, sufficient to place the 13 mm implant.
First step in site preparation: The OsseoDirector™ instrument defines final implant position (left).
Second step: The OsseoShaper™ instrument operates at low speed 50 rpm and without irrigation. It creates a specific osteotomy for the co-packed Nobel Biocare N1™ Implant (right).
View of the OsseoShaper™ instrument freshly removed from the site (left).
Nobel Biocare N1™ Implant featuring the TiUltra™ surface (right).
Nobel Biocare N1™ Implant placement (left).
Nobel Biocare N1™ Implant insertion (right).
The Nobel Biocare N1™ Implant being placed in a fresh extraction socket (left).
Occlusal view of the final implant position – flat side of the trioval conical connection (TCC) oriented towards buccal (right).
Temporary Abutment TCC 1.5 mm connected directly to the implant (left).
Temporary Abutment post reduced to the required height (right).
Provisional restoration in place after occlusal clearance check (left).
X-ray of the implant with the provisional restoration at the day of surgery (right).
Lateral view 2 weeks post surgery. Tissue margin is stable (left).
Tissue healing. We can see how transeptal fibers are healed and stable (right).