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Dental Tribune Middle East & Africa Edition | July-August 2015 27implant tribune < Page 26 in the site by a minimal drilling technique. Clinical cases Case 1 A 54 years old man presented to our clinic with tenderness in the upper right lateral incisor area as a chief complain. Patient presented no significant health problems. The Extraoral ex- amination showed a traumatic occlusion focused on the tooth (Figure 1). The intraoral exami- nation showed tenderness on percussion and a mobility type II. Periapical radiograph showed a horizontal fracture of the root with limited radiolucency in the periapical area (Figure 2). A 4x11.5mm (Any Ridge Im- plant-Megagen) was placed (Figure 3) after conservative atraumatic removal of the lat- eral incisor tooth with a 30 N/cm insertion torque. Xenograft was placed buccally after the buccal hiatus proved to be more than 2mm (Figure 5), with implant stability quo- tient (ISQ) measured to be 75 (Figure 4). Having a high RFA (Resonance frequency analy- sis) an immediate provisional tooth was placed under occlu- sion (Figure 6, 7). Four months post operatively, the provisional crown was replaced by a per- manent cemented restoration (Figure 8). A two years follow up showed good results with no bone loss. Case 2 A 38 years old woman consulted our clinic for evaluation of the upper left lateral incisor. The patient did not have any medical conditions and was not taking any medications that were asso- ciated with compromised heal- ing response. An intraoral ex- > Page 28 Figure 4: Implant stability quotient of 75, indicating a possible immediate loading option. Figure 7: Acrylic temporary crown in place. Figure 8: Clinical photograph showing permanent prosthesis in function. Figure 9: Clinical photograph at the initial visit, the upper left lateral incisor shows discoloration. Firgure 5: Xenograft placed in the buccal hiatus in order to preventing empty spaces and enhancing osseointegration. Figure 6: Periapical radiograph after implant placement with temporary crown. • NuOss® is physically and chemically comparable to the mineral matrix of human bone • NuOss® is one of the most reliable bone substitutes used by dental professionals • Natural anorganic bovine bone matrix; available in 6 different forms to best suit your surgical needs YOUR GENERATION OF BONE REGENERATION. NuOss® is a registered trademark of ACE Surgical Supply Company, Inc. Copyright © 2015. NuOss® is manufactured for ACE Surgical Supply. Contact Your Local ACE Surgical Dealer. cancellous and cortical granules collagen blockparticulate in a delivery syringe expanding composite TODAY’S DENTAL PROFESSIONALS RELY ON NUOSS ANORGANIC BOVINE BONE.