Here is a case that I just started yesterday.
Patient 84 y.o
Retired, Loves to play golf, Loves life.
Heathy All WNL
Dent Hist: Has history of wear and wear facets on his teeth.
Edge to edge bite (may or may not be condusive for immediate load)
Fell and cut his lip open and fractured #9.
Here is the Xray
Patient has Vertical/Horizontal Root Fracture.
1) Do Nothing
2) Rct, Crown Lengthening (causing more black triangles), Post and crown
3) Extract and Fpd
4) Extract Implant, Crown
5) Forced Eruption, Rct and post core Crown
Patient chose #9. I do understand That this tooth could have been saved but patient did not want to bother with other options and chose implant.
The root was measured at 18mm, so the longest implant we had was a 16mm plus 2-3 mm subcrestal would be fine.
Here is what we did.
|Tooth Extracted Atraumatically|
|After tooth Extraction, Implant was placed and bone graft was performed. Mixture of Cerasorb M dental and DFDBA|
|5-0 Chromic suture.Notice papilla not sutured.|
|Papilla SPace created will adjust gingival embrasure after swelling goes down. Leaving a black triangle will allow papilla to develop|