Case study No 2

Product catalog summary

Patient Information:
- Patient: Mr. X G, 38 years old
- Location: Paris, France
- Condition: Fractured and periodontally lost central left incisor due to internal resorption

Procedure Overview:
- The fractured tooth was carefully removed to preserve the bone site, particularly on the buccal side.
- Due to buccal bone loss, the drilling was directed palatally to ensure good stabilization.
- Different angulated abutments and collar heights were considered during the drilling process.

Implantation Details:
- The titanium post was replaced with a TAV dental zirconium abutment.
- Each abutment was accompanied by a single-use bur to prevent zirconium contamination.
- A 15° angulated, 2 mm collar TAV dental abutment was used.
- The abutment was screwed into position and torqued to 32Ncm.
- An acrylic temporary crown was shaped and polished.

Esthetic Considerations:
- The esthetic outcome could have been improved if the procedure was performed earlier.
- A temporary crown was placed to provide immediate esthetics, though not immediate loading.

Post-Procedure Recommendations:
- Occlusion protection is crucial during bone healing, especially with protrusion, to avoid contact with antagonists.
- A good overjet was maintained.
- Connection control and X-ray verification were emphasized to ensure proper axis and implant connection.

Catalog excerpts

PRECISION. PASSION. PARTNERSHIP Immediate loading after extraction Dr. Frank Lasry, private practice,Paris,France Central left replaced

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Central incisor fractured and periodontally lost

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Internal resorption led to fractured tooth Internal resorption led to fractured tooth

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• Removal is very fine-surgical move to prevent bone site and specially on the buccal side. FL 06/2011

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Palatal direction for drilling in bone • Buccal bone loss drive to palatal axis to have good stabilization. At this stage we have to deal with differents angulated abutments and differents collar hights when choosing drilling axis FL 06/2011

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• Titanium post is removed , to be replaced by TAV dental Zirconium abutment FL 06/2011

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15° angulated ,2 mm collar TAV dental abutment • Each abutment comes with a single use bur to avoid pollution of the zirconium FL 06/2011

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Abutment screwed in position torqued 32Ncm • Cement protect the scew and let temp to be done

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Acrylic temp shaped and polished

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Temporary crown settled in position • Esthetics might have been better if the case had been taken earlier FL 06/2011

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Good overjet When we talk about extraction –implantation we have to protect occlusion by a void with antagonists during bone healing, specially with protrusion.It is mostly immediate esthetics and not immediate loading.

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Connection control X ray is important to verify axis and connection with implant

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