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Case #1: Implant Placement and Immediate Non-Functional Temporization
The patient is a 46-year-old female who initially presented
to our office with a chief complaint of: “I have a brokendown
tooth that I would like to have extracted and replaced
with an implant.” After evaluation of the patient, the crown
of tooth #4 was found to be fractured, and decay was noted
subgingivally. The tooth was determined to be nonrestorable,
and was atraumatically extracted under local anesthesia,
with care taken to preserve the buccal plate. The socket
was gently currettaged and Puros ® Cortico-Cancellous Particulate
Allograft material (Zimmer Dental; Carlsbad, Calif.)
was placed in the extraction site for socket preservation and
covered with a BioMend ® Absorbable Collagen Membrane
(Zimmer Dental). The membrane was then secured using
4-0 Vicryl ® suture (Ethicon Inc; Somerville, N.J.).
After four months, the patient returned to our office for
evaluation, during which the extraction site and graft were
determined to have adequately matured to proceed with
implant placement. After reviewing the CBCT scan in the
In2Guide implant planning software (Cybermed Inc.;
Irvine, Calif.), the decision was made to place a 3.7 mm x
10 mm Inclusive ® Tapered Implant.
1a
The requisite polyvinyl siloxane impressions were taken, as well as an accurate bite registration and preoperative intraoral
photographs, including selection of the shade for the BioTemps ® provisional crown.
1b
2
The diagnostic records were submitted,
along with a completed Inclusive Tooth
Replacement Solution digital Rx, to
Glidewell Laboratories for fabrication
of the Inclusive Tooth Replacement
Solution components. Upon receipt of the
patient’s diagnostic records and digital
Rx, the Inclusive Tooth Replacement
Solution components were fabricated
and forwarded to our office for implant
placement and temporization.
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James Smith
10-5217558
drjsmith6585@yahoo.com
123 Main Street Suite #1 Anywhere, USA
Jane
Doe
✔
4 A3
Please fabricate components for replacement of #4.
J Smith
555-555-5555
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1265287
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✔ Shade photos
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