Immediate implantation and immediate loading with TTPHIL™ Technique
Immediate loading after extraction - implantation CASE #2 MR X G, 38 Central right replaced.
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Transcript of Immediate loading after extraction - implantation CASE #2 MR X G, 38 Central right replaced.
![Page 1: Immediate loading after extraction - implantation CASE #2 MR X G, 38 Central right replaced.](https://reader034.fdocuments.us/reader034/viewer/2022051416/56649e405503460f94b318f0/html5/thumbnails/1.jpg)
Immediate loading after extraction - implantation
• CASE #2• MR X G, 38• Central right replaced
![Page 2: Immediate loading after extraction - implantation CASE #2 MR X G, 38 Central right replaced.](https://reader034.fdocuments.us/reader034/viewer/2022051416/56649e405503460f94b318f0/html5/thumbnails/2.jpg)
May be late request
FL 06/2011
![Page 3: Immediate loading after extraction - implantation CASE #2 MR X G, 38 Central right replaced.](https://reader034.fdocuments.us/reader034/viewer/2022051416/56649e405503460f94b318f0/html5/thumbnails/3.jpg)
Internal resorption led to fractured tooth
Root canal therapy is not the solution
FL 06/2011
![Page 4: Immediate loading after extraction - implantation CASE #2 MR X G, 38 Central right replaced.](https://reader034.fdocuments.us/reader034/viewer/2022051416/56649e405503460f94b318f0/html5/thumbnails/4.jpg)
FL 06/2011
![Page 5: Immediate loading after extraction - implantation CASE #2 MR X G, 38 Central right replaced.](https://reader034.fdocuments.us/reader034/viewer/2022051416/56649e405503460f94b318f0/html5/thumbnails/5.jpg)
Two pieces tooth !!
Removal is very fine-surgical move to prevent bone site and specially on the buccal side.
FL 06/2011
![Page 6: Immediate loading after extraction - implantation CASE #2 MR X G, 38 Central right replaced.](https://reader034.fdocuments.us/reader034/viewer/2022051416/56649e405503460f94b318f0/html5/thumbnails/6.jpg)
Palatal direction for drilling in bone
Buccal bone loss drive to palatal axis to have good stabilization . At this stage we have to deal with differents angulated abutments and differents collar hights when choosing drilling axis
FL 06/2011
![Page 7: Immediate loading after extraction - implantation CASE #2 MR X G, 38 Central right replaced.](https://reader034.fdocuments.us/reader034/viewer/2022051416/56649e405503460f94b318f0/html5/thumbnails/7.jpg)
Cortex Saturn implant is inserted
Titanium post is removed , to be replaced by TAV dental zirconium abutment
FL 06/2011
![Page 8: Immediate loading after extraction - implantation CASE #2 MR X G, 38 Central right replaced.](https://reader034.fdocuments.us/reader034/viewer/2022051416/56649e405503460f94b318f0/html5/thumbnails/8.jpg)
15° angulated ,2 mm collar TAV dental abutment
Each abutment comes with a single use bur to avoid pollution of the zirconium
FL 06/2011
![Page 9: Immediate loading after extraction - implantation CASE #2 MR X G, 38 Central right replaced.](https://reader034.fdocuments.us/reader034/viewer/2022051416/56649e405503460f94b318f0/html5/thumbnails/9.jpg)
Abutment screwed in position torqued 32Ncm
Cement protect the scew and let temp to be done
FL 06/2011
![Page 10: Immediate loading after extraction - implantation CASE #2 MR X G, 38 Central right replaced.](https://reader034.fdocuments.us/reader034/viewer/2022051416/56649e405503460f94b318f0/html5/thumbnails/10.jpg)
Acrylic temp shaped and polished
FL 06/2011
![Page 11: Immediate loading after extraction - implantation CASE #2 MR X G, 38 Central right replaced.](https://reader034.fdocuments.us/reader034/viewer/2022051416/56649e405503460f94b318f0/html5/thumbnails/11.jpg)
Temporary crown settled in position
Esthetics might have been better if the case had been taken earlier
FL 06/2011
![Page 12: Immediate loading after extraction - implantation CASE #2 MR X G, 38 Central right replaced.](https://reader034.fdocuments.us/reader034/viewer/2022051416/56649e405503460f94b318f0/html5/thumbnails/12.jpg)
Good overjet
When we talk about extraction –implantation we have to protect occlusion by a void with antagonists during bone healing, specially with protrusion.It is mostly immediate esthetics and not immediate loading.
FL 06/2011
![Page 13: Immediate loading after extraction - implantation CASE #2 MR X G, 38 Central right replaced.](https://reader034.fdocuments.us/reader034/viewer/2022051416/56649e405503460f94b318f0/html5/thumbnails/13.jpg)
Connection control
X ray is important to verify axis and connection with implant
FL 06/2011