PMC5949185_01
X-ray presenting severe root resorption of teeth 11 and 21.
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Due to heavy root resorption, active fistula, and severe atrophy of the alveolar ridge, mostly related to the vestibular cortical plate, a decision was made to extract the teeth and to use one-piece immediate loading smooth surface bicortical screw implants (Figure 1).
Immediate implant placement after tooth extractions: (a) the photo of immediate implants in the mouth right after placement, (b) the scheme of immediate implant placement, and (c) the photo of immediate implant.
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Two long one-piece implants with a diameter of 3.5 and a length of 22 mm were placed and anchored in the second cortical in the floor of the nose with a perfect primary stability (Figures 2(a)-2(c)).
Temporary composite crown delivered on the same day. Still visible active fistula over tooth 11.
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At the same day, provisional composite crowns were placed in the patient for immediate replacement of the missing front teeth due to functional and aesthetic requirements (Figure 3).
X-ray after 3 months with try-in metal-ceramic crowns.
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Fuji IX cement (Figures 4 and 5). Follow-up was done after 3-, 6-, and 12-month intervals.
Metal ceramic crowns after cementation.
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Fuji IX cement (Figures 4 and 5). Follow-up was done after 3-, 6-, and 12-month intervals.
Good aesthetic after 12 months with papilla preservation.
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Very good aesthetic result of this treatment was achieved by the preservation of gingival papillae (Figure 6).