Difficult case of esthetic on implant in anterior area

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Posted on By Pantir Mona In Anterior/Esthetic

Patient came with an old implant and he wanted improved esthetic.The case was approached in 6 stages:
1. Decoronation- removal of crown and abutment in order to allow a growth of soft tissue
2. Removal of old implant and soft tissue graft(onlay graft)
3. Bone graft
4. Implant placement using a guide
5. Temporary crown
6. Rotated palatal flap to reconstruct the papilla between central and lateral incisor
7. Or tho to create the occlusal space for final crown

Old crown and implant
Soft tissue after crown removal

Implant removal and soft tissue graft
Autogenous bone graft


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Henry Schein
Magnetic Mallet