PMC7542513_01
Atraumatic dental extraction.
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She also presented Miller's Grade 3 mobility and root carious lesions in teeth 33 and 43 (Figure 1).
Fresh postextraction sockets.
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Syndesmotomy was then performed with the help of straight drills (Hu-Friedy) (Figure 2).
Fresh postextraction sockets.
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Due to the presence of multiple bone spicules, the crestal bone was then reshaped with the help of HM251SX tungsten carbide surgical drills and a low-speed micromotor with abundant saline solution to avoid necrotizing bone tissue (Figure 3).
Crestal bone remodeling.
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Drilling was started with the lance, Titamax 2.0 drill, 2/3 pilot drill, Titamax 3.15 drill, 3/3.75 pilot drill, and finally with a countersink II 3.8 drill (Figures 4-7).
Adaptation of the surgical guide prior to the placement of dental implants.
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Drilling was started with the lance, Titamax 2.0 drill, 2/3 pilot drill, Titamax 3.15 drill, 3/3.75 pilot drill, and finally with a countersink II 3.8 drill (Figures 4-7).
Test of parallelism of dental implants.
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Drilling was started with the lance, Titamax 2.0 drill, 2/3 pilot drill, Titamax 3.15 drill, 3/3.75 pilot drill, and finally with a countersink II 3.8 drill (Figures 4-7).
Postextraction implant placement.
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Drilling was started with the lance, Titamax 2.0 drill, 2/3 pilot drill, Titamax 3.15 drill, 3/3.75 pilot drill, and finally with a countersink II 3.8 drill (Figures 4-7).
Infectious process with rupture of the suture material.
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Traces of food were evident with a purulent exudate at the crestal bone level (Figure 8).
Surgical cleaning of the implant area.
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Clinical management included clindamycin 600 mg/4 ml (Dalacin ) every 24 hours for 4 days plus dexamethasone 4 mg/2 mg (Fortecortin ) every 12 hours for 3 days (Figure 9).
Control radiograph at 30 days.
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Follow-up panoramic radiography (Figure 10) showed fresh alveoli healing favorably.
Tissue stabilization at 6 months.
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Finally, after 6 months of follow-up, the healing abutments were placed with correct adaptation of soft tissues allowing preparation of the hybrid prosthesis (Figure 11).