Two Stage Implant Placement for a Failing Central Incisor with Ankylosis to Labial Bone Plate.

... as it doesn’t permit to see the image well

The treatment selected for the replacement of the central incisor involved the extraction of the root of #21 FDI (#9 US) initially hoping to carry out immediate implant placement, however ankylosis to labial bone plate necessitated delayed approach.                                             *************************** First of all, thank you for sharing and congratulations on your achieving such an enjoyable presentation. This, in my opinion, is an humble but simple example for a Fantastic, Magnificent, Marvelous, most Admirable, and quite an ACHIEVABLE result for a proud profession excellence.  Most importantly, The best ACHIEVED in our services "offers the most benefits" to our beloved patients... DOE IT????                                 ********************************** Now, comments: 1. It appears, that the first stage surgery...              Extract and graft procedure/s resulted in  less than desired "RIDGE" contours... am I wrong?               A. What can we learn from this experience, of having to correct the "deficient ridge" yet.                  B. What would you do different, to achieve even better, or best possible results!                     C. What Is/was that compromised result (if it is) pointing to LEARN FROM, could it be                           (I) Methods/procedure adopted, (ii) Materials used and or (iii) It just happens!!! 2. Could I be wrong, to point that a slightly more palatal positioning (A-P axial orientation) of implant plat form would have accommodated a nicer screw retained (crown) restoration? 3. Is it beneficial, if we were to design and create/prep a custom ABUTMENT with an accentuated axial, anti-rotational mechanical features to counter the potential functional failure of cements used?                  Anti-rotational feature compliments cement's breakage resistance... does it? (#30,#46) 4. How was the lost Vertical Dimension of Occlusion was regained and restored?  your procedural steps? Thanks for listening, Ashwath M Gowda. BDS., DDS., FAGD. [email protected]