Maxillary central incisor: Immediate implant placement and periodontal plastic surgery
A 37-year-old female patient presented with a 5.0 mm periodontal pocket on the facial surface of the right central incisor with moderate periodontal inflammation. After a CBCT scan was performed, external root resorption was discovered on the facial surface which required tooth extraction. It was observed during the clinical examination that 3.0 mm of gingival recession was present on the facial aspect of the left central incisor.
The objective of the treatment was to replace #11 FDI (#8 US) using immediate implant placement and to perform root coverage of the #21 FDI (#9 US) using a connective tissue graft.
A NobelActive regular platform (RP) 3.5/13 implant was placed, with a temporary abutment. Geistlich Bio-Oss was placed in the gap between the implant and bone. The definitive restoration was fabricated using a Universal Base and 1.5 mm abutment height, a zirconia individualized abutment, and a lithium disilicate (IPS e.max) ceramic crown.
Evaluation & Diagnosis
Treatment Planning
Progress & Completion
Follow-Up & Outcome
Questions
If there was no primary stability, how to manage please?
extraction can be avoided

Was an Endo opinion taken before extracting the tooth?? To avoid medico legal scenario.....

In reply to Was an Endo opinion taken before extracting the tooth?? To avoid medico legal scenario..... by Mandar Bhosekar
Justification of the the Extraction
In reply to Justification of the the Extraction by Nic kamosi