Extraction, Immediate Load Implants, Grafting, and Restoration of Fixed Partial
Denture Using Friadent Xive Implants with Protect Abutments and
Temp Base Assembly
treatment is important to manage an unscheduled patient aesthetic crisis
following an anterior tooth, crown, or prosthesis loss. The immediate
management of the anterior aesthetic crisis allows for definitive
treatment at a separate appointment.
Following initial aesthetic management, the
hopeless tooth or teeth can be replaced with definitive implant
prosthetic treatment a short time later on an appointment basis.
Most aesthetic anterior tooth replacement is done with a delayed
surgical implant protocol.
This delay can result in loss of both soft and
hard oral tissues during the healing period, necessitating soft tissue
and bone augmentation procedures, including surgical bone expansion,
guided tissue regeneration, bone block grafting procedures or a
These losses often can be avoided at the time of
tooth removal with immediate implant replacement.
This article demonstrates a technique for management of a
patient’s unscheduled prosthesis loss with traditional dental treatment
(recementation of old prosthesis) and then at a separate appointment,
definitive treatment using immediate implant replacement with grafting
for the extracted teeth.
The article further describes the diagnostic and
radiographic planning for immediate implant replacement with necessary
bone expansion and grafting requirements, the fixed screw retained
provisional restoration which stabilizes the implants following
extractions and facilitates ease of removal for treatment, and lastly
the final prosthodontic restoration of the missing teeth, restoring the
aesthetics of the affected area.