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Another immediate implant - Courtesy ROOTS
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The opinions and photographs within this web page are not ours.
Authors have been credited for the individual posts where they are - www.rxroots.com |
From: Dmitri Ruzanov To: ankylos@rxdentistry.com Sent: Tuesday, June 22, 2010 6:10 PM Subject: Another one immediate implant... Hot off the press again :-) The story started 1.5 years back when the patient was referred to me for endodontic re-treatment of upper right lateral incisor. Endo was straight forward one step re-treat of ZnPO4 cement fill... left a post space as was requested by referral (although i was not sure the tooth needed a post... and if it does, i now prefer to place one myself). A half year after i saw the patient for a recall and another treatment... She was not particularily satisfied with the crown on UR2, but she was told by her dentist and technician there was no way in hell the crown could be nicer (WTF??!). Two weeks back she comes again with a complaint of mobile crown... apparently it snapped off. She did not want to go back; asked me for taking the case over. She knew i'm doing implants (i've placed two on her already)... asked for implant replacement. Today i extracted the tooth (with scalpel only), socket was intact. Placed immediate implant... as i definetely had to temporize it i chose to use XiVE (as it has all the parts that are easy to use - it was specifically designed for immediate replacement and immediate temporization). 3.4x15mm XiVE + TempBase + TempBase Cap + Acrylic shell crown relined with Unifast acrylic, margins adjusted with flowable. Friction-grip retained. This time i was just a tiny bit better at angulation :-) Guy's, how do you control bleeding at the area to reline the provisional without blood getting sucked into there? I have a somewhat "bruised tooth" provisional now :-( Comments and advice are strongly appreciated! - Dmitri
