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Sagittal view x-ray Pereira
Nobel implant placement Pereira
Final restoration Pereira
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Patient cases:
Single-unit restorations
(Maxilla)

Maxillary central incisor: Immediate implant placement and periodontal plastic surgery

Lead:  
Armando Lopes Pereira

Questions

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asked by Nic kamosi

Justification of the the Extraction

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Comments: 1. The Implant Platform diameter discrepancy corresponding to the 11 root diameter at ECJ! 2. Lack of LCPPA radiograph before and after and follow-up! 3, Simultaneous correction of the recession of the adjacent tooth 21! 4. Extreme vicinity Prov. rest. margin to the Implant-abutment interface or Bone margin violating the Biological width! 5. Lack of GBR technique in the presence of Straumann bone Ceramic (membrane?)! 6. ..............    
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Hello Nic, regarding to your topics.  Extraction: large resorption with some crestal bone loss and no predictability to any treatment to stop that. The endodontist that indicated the extraction. 1. As we place immediate implants in the aesthetic zone especially, we should leave at least a minimum of 2 mm of buccal gap, that was the motive to install the NP Nobel Active.  2. please explain me LCPPA. WE have a short follow up until now, but I will send here the latest as soon as I have it. 4.The biological width was intact, as the implant was 4mm above buccal mucosa margin. and you can see in X-ray that there was only bone remodelling at the follow up and no bone loss. 5. In our practice, when the buccal plate of the extraction socket is from 3 to 5 mm from de gingival margin after tooth extraction, we just fill the Gap after implant insertion. No need of membrane in this case. I hope was able to help
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asked by Amal Nawasrah

If there was no primary stability, how to manage please?

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asked by Anonymous

How did you evaluate grafted site after healing time?

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asked by Anonymous

extraction can be avoided

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extraction cannot be justified. i feel tooth can be saved. lot of options available for saving teeth
22.09.2019 | 22:05

In reply to by Anonymous

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Given the relatively large size of root resorption, how would you predictably save the tooth without the of risk of delayed intervention and then jeopardising the relatively intact buccal plate of bone with possible further bone resorption?
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08.10.2019 | 14:38

In reply to by Anonymous

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Agree with Ramzi, the extension of the resorption and the begging of buccal bone loss was the main issues that de Endodontist indicated the extraction.

Team members

Favio Alves
Prosthodontist
Diego Miranda
Dental technician