PMC3714832_01
Mucoperiosteal flap reflected to expose the fractured root canal treated tooth. Note the gutta percha filling material protruding outside
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F1
This mucoperiosteal flap was reflected and the fractured tooth exposed sufficient enough to facilitate atraumatic and careful extraction [Figure 1].
Space present at the palatal and proximal surfaces of the implant in the cervical aspect
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F2
However, a small amount of space was present at the palatal and proximal surfaces of the implant in the cervical aspect [Figure 2].
Cylindrical autogenous block bone harvested from mandibular symphysis region using round trephine bur
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F3
An 11 mm diameter cylindrical autogenous block bone was harvested using a round trephine bur [Figure 3].
Bone chips packed around the palatal and proximal surfaces of the implant
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F4
The bone chips were carefully packed around the palatal and proximal aspects of the implant [Figure 4].
A bio-resorbable collagen membrane adapted over the implant site
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F5
A bio-resorbable collagen membrane (Healiguide, Advanced Biotech Products, Chennai, India) was adapted over the implant site to establish complete coverage and protection of the implant and bone graft material [Figure 5].
Six months post-operative intraoral clinical view of the implant surgical site
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F6
Six months post-operatively, the recipient and donor surgical sites exhibited excellent wound healing with adequate amount of interdental papilla present at the recipient site around the implant fixture [Figure 6].
Post-operative clinical photograph after prosthesis placement
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F7
A second phase surgery was performed to uncover the implant, and the final fixed prosthesis involving two separate crowns were delivered in relation to both the maxillary central incisors [Figure 7].