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ePaper created 2016-12-13, 09:04:25 | version 1.38.0
3_2016 16 case report _ aesthetic replacement Aesthetic replacement of maxillary premolar with immediate implant placement and metal ceramic crown over CAD/CAM abutment Autori_Larry R. Holt, ddS, FICd _Introduction This article describes treatment to solve a common dental complication (loss of tooth due to vertical root fracture). Contemporary implant therapy and subsequent CAD/CAM laboratory pro- cedures provide an elegant solution to this patient’s dental emergency. Treatment was accomplished during a period of approximately six months. _Case presentation The patient is a healthy, 52-year-old female with an unremarkable medical history. Her dental history and general dental health are excellent. Un- fortunately, she suffered a vertical fracture of tooth #5, which necessitated its extraction (Fig. 1). The treatment plan was for extraction and immediate implant placement with concurrent bone grafting as required. A temporary partial was planned to provide esthetic replacement and to support and shape tissue during the healing pro- cess. Final restoration was to be a cemented PFM crown supported by an Atlantis gold hue abutment. Material selection was based on patient’s Fig. 1 Fig. 2 Fig. 3 Fig. 1_Fractured tooth. Fig. 2_Immediate implant placement. Fig. 3_Bone grafting and membrane placement.