A Guided Solution to Immediate Extract Immediate Placement in the Aesthetic Zone

Case History

The patient is a 53 year old female with no history of medical complications or medications. Tooth #9 was compromised and was planned for an extraction and immediate implant placement.

Capturing the Digital Information

Virtual Implant Treatment Planning

Provisional Design

Surgical Guide

3D Printed Surgical Guides

Implant Delivery The Straumann Guided Surgical Kit allowed Dr. Lorenzana to complete the osteotomy and place the implant through the surgical guide to ensure precise trajectory, depth and timing.

Tooth Borne Surgical Guide Verification windows verified the surgical guide was fully seated.

Post Operative Results

Post-operative photo displaying the completed delivery of the Surgery-Ready Screw-Retained PMMA Provisional, shade A1.

Delivery of the Surgery-Ready Screw-retained PMMA provisional and contact evaluation.

The post-operative PA verified the final position of the 4.1 x 14mm Straumann Roxolid SLActive implant. Also pictured is the Straumann Variobase engaging abutment.

A post-op CBCT scan (red implant) was captured and overlayed with the pre-op CBCT scan (blue implant) to confirm the final implant placement. A 0.4 mm divergence was observed indicating an extremely accurate placement of the implant in comparison to the digital treatment plan.

Eduardo Lorenzana DDS, MS

BOARD CERTIFIED PERIODONTIST

Eduardo R. Lorenzana, DDS, MS, established his private practice in San Antonio, Texas, focusing on Periodontics, Oral Plastic Surgery, and Dental Implant Aesthetics. He earned his certificate in Periodontics and Masters in Oral Biology from Texas A&M – Baylor College of Dentistry in Dallas, Texas, and is a Diplomate of the American Board of Periodontology. He is an Adjunct Assistant Professor in the Graduate Periodontics Department at Texas A&M – Baylor College of Dentistry and Faculty in the Implant Preceptorship in Dental Implantology continuum at The University of Texas Health Science Center in San Antonio. He is a Fellow in the International Team for Implantology (ITI), currently serving as Study Clubs Coordinator for the US Section, and he is Past-President of both the Southwest Society of Periodontists (2016-2017) and the Texas Society of Periodontists (2008-2010).