Replacement of a single anterior tooth. Extraction, placement and immediate loading of one axiom® implant

axiom® clinical case

Dr. Christophe FoREsti> Teaching Fellowship at Strasbourg Faculty of Dentistry (France)> Graduated in Oral Implantology> University Degree on Mechanical Engineering in Oral

Implantology> University Degree on pre and peri-implant surgery> University Degree on New Dental Technologies> Certificate in Anatomics and Implant Surgery and

Advanced Techniques> Certificate in implant-supported denture

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Clinical case presentation

Fig.1: Clinical view of the condemned tooth.

Fig.4: Dental alveolus after extraction.

Fig.7: Drilling.

Fig.2: Extraction of the fractured crown.

Fig.5: Examination of the integrity of bony walls (a vestibular wall is necessary).

Fig.8: Examination of the drilling depth.

Fig.3: Atraumatic extraction of the apical part (periotomes).

Fig.10: Use of the reamer Ø 3.4mm. Fig.11: The axiom® implant is transported to the patient’s mouth. The first 1/3 part of the implant must easily go into the socket.

Fig.6: The pointer drill is used to get palatal anchorage.

Fig.9: Examination of the drilling axis. A palatal axis from the buccal cortical bone can be observed.

The patient is a woman, aged 44. Her maxillary left lateral incisor tooth was fractured.She is a non-smoker and has no contraindications for dental implants.She presents a gingival smile and she has high level aesthetic requirements.

ClINICAl CASE - jUNE 2010

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Fig.13: The axiom® implant is positioned 0.5mm under the crest paying attention to the position of the indicator.

Fig.16: Placement of the temporary tooth.

Fig.19: X-ray control on the day of the surgery.

Fig.14: Titanium aesthetic abutment.

Fig.17: Clinical inspection 1 week after the surgery.

Fig.20: X-ray control 1 month after the surgery.

Fig.12: The axiom® implant is tightened using a ratchet wrench so as to get a good tactile estimation of the peri-implant bone resistance and the implant anchorage.

Fig.15: Positioning of the aesthetic abutment.

Fig.18: Clinical inspection 1 month after the surgery. The temporary tooth is tapered at the cervical level allowing gingival invagination.

Fig.22: Try-in of the ceramic crown. As agreed with the patient, the distal angle will be increased.

Fig.23: Aesthetic final result.

Fig.21: X-ray control 3 months after the surgery. Crestal bone stability can be observed.

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w One single connection.w Intuitive prosthetic interlocking.w User-friendly protocol.w Implant-holder free.w Convenient and compact kit.w Compatible with the ANTHOGYR Guiding System.

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