ZERAMEX® XT – Immediate Placement: site # 21

1- : Clinical situation: Narrow jaw with an overjet of 9 mm. Buccal view.

2- : Clinical situation: Narrow jaw with an overjet of 9 mm. Lateral view.

3- Tooth 21 had a massive palatal and sub- gingival carious lesion

4- Tooth 21 removed.

5-Zeramex XT RB 4,2mm x 14mm implant - mounted on a Zeramex pickup, ready for insertion

6- XT implant inserted into prepared alveola with Zeramex pickup instrument.

7-Implant in situ with good primary stability.

8- Healing cover

9- Difference between buccal and palatal gingival margins due to overjet.

10- Transfer sleeve inserted to check axis.

11- Control OPG - post-op | XT with RB straight abutment.

12-Temporary crown bonded to RB straight abutment.

13-Temporary crown screwed in place with Vicarbo screw.

14-Site # 21 after 6 months- ready for final impression.

15- Modified open transfer sleeve for final impression.

16- VPS impression with transfer sleeve ready to be sent to laboratory.

17- Final crown/abutment assembly with Vicarbo screw mounted on prosthetic key.

18- Final restoration # 21 - buccal view. Note excellent soft tissue appearance and colour.

19- BEFORE

20- AFTER - Buccal view: Fully reversible final restoration on # 21, screwed in place without any cement.

21- AFTER - Lateral view: Excellent emergence profile, soft tissue contour and excellent condition, especially compared to the initial situation.