Single extraction and immediate placement of an implant with a provisional (temporary) crown
A broken tooth will need to be extracted and an implant with an implant crown is chosen as the restorative option.
A cross sectional image from the CBCT scan indicates the availability of bone in one of the three dimensional planes (width) at the site of the broken tooth. A precise implant placement will be required due to the limited width of bone.
Using the virtual planning feature included in the software from the CBCT Scan, a virtual implant of size 4.2 x 16 mm is being used during the planning phase and is eventually selected for the actual implant placement.
First, the broken tooth is removed and the tooth socket is thoroughly cleaned.
The implant space (osteotomy) is carefully prepared freehandedly and the implant is then placed with the required amount of initial mechanical stability.
A virtual or simmulated implant of size 4.2 x 16mm is placed next to the actual implant of the same dimensions on an image slice of a CBCT scan after its placement.
A provisional (temporary) implant crown is fabricated chairside after the implant is placed. A sufficient of amount of time is required for healing (bone regeneration) to occur before the final implant crown is delivered. All contacts on the provisional crown are deliberately removed during the healing phase.