Australasian Dentist Magazine Sept-Oct 2021

Category 94 Australasian Dentist clinical Surgical procedure The surgical procedure was performed under local anesthesia. A flapless extraction of the maxillary first molar was performed, sectioning the roots, and preserving buccal and interseptal bone. A surgical template was placed, and the implant site was prepared following the Straumann ® TLX sequence. Bone density was considered to be medium. The 4.3 mm drill was the last one used before placement of the 5.5 diameter implant in order to Fig. 10 Provisional crown design on CARES Fig. 12 Model with TLX analog for crown positioning Fig. 14 Intraoperatory view after extraction – socket Fig. 16 Guide in place and direction indicator – buccal view Fig. 18 Intraoperative view – Implant placed Fig. 11 Provisional crown 3D printed Fig. 13 Provisional crown in model Fig. 15 Guide in place and direction indicator – occlusal view Fig. 17 TLX Implant Fig. 19 Intraoperative view – bone graft in the gap around implant Fig. 20 Provisional abutment and crown chairside pickup Fig. 21 Provisional abutment and crown chairside pickup Fig. 22 Immediate Provisional crown delivered – occlusal view Fig. 23 Immediate provisional crown – buccal view Fig. 24 Immediate periapical radiograph provide better primary stability. Primary stability was achieved at 45 Ncm, and an ISQ measurement of 70 was obtained. The remaining gaps between the implant and the socket walls were filled completely with a DBBM+C material (Figs. 14-19).