implants - international magazine of oral implantology

231_2014 C.E. article _ immediate implant placement restorative loading protocol was recommended to accelerate her rehabilitation. The clinical and radiological findings, in com- bination with the patient’s treatment expecta- tions, led to an esthetic risk profile summing up to a medium esthetic risk, as per the specifications delineated by Martin et al 2007. Prior to the initiation of the dental implant surgery, mounted diagnostic study casts were obtained and a surgical guide was fabricated. The immediate implant surgical procedure for tooth #8 was carried out as described by Beagle 2006 (Figs. 3-7). Excellent primary stability was obtained using a 12mm 3.3-4.8 Regular Neck TE Straumann den- tal implant (Figs. 8, 9). Grafting of the horizontal defect dimension and thin labial plate was performed using autoge- nous bone and a resorbable collagen membrane (Figs. 10, 11). A semi-submerged flap closure was chosen to enhance the final positioning of the peri-implant soft tissues, and a periapical radiograph was tak- Fig. 3_Buccal view of initial incision. Fig. 4_Occlusal view of initial incision. Fig. 5_Buccal view following preparation with 2.2 mm twist drill. Fig. 6_Buccal view following preparation with 2.8 mm twist drill. Fig. 7_Occlusal view following preparation with 2.8 mm twist drill. Fig. 8_Placement of a 12mm 3.3-4.8 TE Straumann dental Implant with pre-mount attached indicating the correct mesial-distal relationship, as well as the correct occlusal-cervical relationship. Fig. 9_Occlusal view of the TE Straumann dental Implant with the pre-mount attached indicating the correct buccal-lingual position. Fig. 10_Buccal view of the placement of a 3.5mm beveled healing cap. Fig. 3 Fig. 5 Fig. 7 Fig. 9 Fig. 10 Fig. 4 Fig. 6 Fig. 8