P5D

Single-stage implant at tooth 1.2 using the IDR technique

A 49-year-old man with extensive bone loss and no buccal wall at 1.2. After extraction, curettage and cyst removal, a bone block and connective-tissue graft from the tuberosity were wedged into the buccal side (Immediate Dentoalveolar Restoration) and a P5D implant was placed. A custom healing cap was made on an S15D-TH sleeve; at 3 months a zirconia crown on a titanium base was fixed.

Single-stage implant at tooth 1.2 using the IDR technique, image 1 of 15Single-stage implant at tooth 1.2 using the IDR technique, image 2 of 15Single-stage implant at tooth 1.2 using the IDR technique, image 3 of 15Single-stage implant at tooth 1.2 using the IDR technique, image 4 of 15Single-stage implant at tooth 1.2 using the IDR technique, image 5 of 15Single-stage implant at tooth 1.2 using the IDR technique, image 6 of 15Single-stage implant at tooth 1.2 using the IDR technique, image 7 of 15Single-stage implant at tooth 1.2 using the IDR technique, image 8 of 15Single-stage implant at tooth 1.2 using the IDR technique, image 9 of 15Single-stage implant at tooth 1.2 using the IDR technique, image 10 of 15Single-stage implant at tooth 1.2 using the IDR technique, image 11 of 15Single-stage implant at tooth 1.2 using the IDR technique, image 12 of 15Single-stage implant at tooth 1.2 using the IDR technique, image 13 of 15Single-stage implant at tooth 1.2 using the IDR technique, image 14 of 15Single-stage implant at tooth 1.2 using the IDR technique, image 15 of 15
Timeline

Step by step

  1. Assessment: extensive resorption with loss of the vestibular wall
  2. Extraction, curettage, cyst removal
  3. Implant bed preparation with parallel pin check
  4. Bone block and CTG harvested from the tuberosity; block wedged buccally with an osteotome
  5. P5D 3.75×13 mm placed
  6. Custom gingival healing cap on S15D-TH
  7. 3 monthsopen-tray impression
  8. Zirconia on titanium base (STCSD 2.5 mm with hex); smile
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