Traumatic loss of a central incisor

44 Rating(s).


Posted on By Dr Achraf SOUAYAH In Implants

A challenging case:
28Y old Patient had a car accident with a complete loss of #9 and a fracture of #10. The CBCT cross section is showing a fracture/dislocation of the buccal plate. The IHB seems to be Ok. what would be the best scenario for such case? Timing of implant placement?When would you graft the site? How to temporize the case?

Frontal Pre-op view
Lateral Pre-op Views

Close-up
PA & CBCT Cross sections
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1 Comments

It looks like early implant placement in 6-8 weeks, after soft tissue healing. Than implant placement with simultenous soft and hard tissue augmentation - pediculated CTG to avoid coronal flap advancement.
And as provisional- one wing Maryland on #8, alternative Essix.
Let’s see more opinions...
Best regards
Snjezana


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