P5D

Immediate molar implant at 3.6 with trephine bone core

A 35-year-old man. After atraumatic extraction, the site was prepared with a 4.0 mm trephine and the harvested bone used to fill the gaps around a P5D 5×10 implant; a palatal CTG was fixed and a wide healing cap placed. At 3 months a screw-retained zirconia crown on a titanium base was delivered, with a further 3-month follow-up.

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Timeline

Step by step

  1. Assessment and radiographs
  2. Atraumatic extraction; site preparation with 4.0 mm trephine
  3. Bone block harvested from the implant site
  4. P5D 5.0×10 mm placed; residual gaps filled with bone
  5. Palatal CTG; HW8D-5 mm healing cap
  6. 2 weeks and 3 monthschecks
  7. Screw-retained zirconia crown on titanium base (STCSD with hex, 2.5 mm)
  8. 3-month follow-up and X-ray
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