![Page 1: Central Incisor Horizontal Fracture at bone level · 2016. 2. 9. · 6 Advance Sental Solutions Ltd. Central Incisor Horizontal Fracture at bone level Bone grafting of buccal gap,](https://reader036.vdocuments.net/reader036/viewer/2022071104/5fde16f68280a73dd13a75ce/html5/thumbnails/1.jpg)
Central Incisor Horizontal Fractureat bone level
![Page 2: Central Incisor Horizontal Fracture at bone level · 2016. 2. 9. · 6 Advance Sental Solutions Ltd. Central Incisor Horizontal Fracture at bone level Bone grafting of buccal gap,](https://reader036.vdocuments.net/reader036/viewer/2022071104/5fde16f68280a73dd13a75ce/html5/thumbnails/2.jpg)
2 Advance Sental Solutions Ltd.
Central Incisor Horizontal Fracture at bone level
High Lip line, indicating a need for high level oftissue managment
![Page 3: Central Incisor Horizontal Fracture at bone level · 2016. 2. 9. · 6 Advance Sental Solutions Ltd. Central Incisor Horizontal Fracture at bone level Bone grafting of buccal gap,](https://reader036.vdocuments.net/reader036/viewer/2022071104/5fde16f68280a73dd13a75ce/html5/thumbnails/3.jpg)
3 Advance Sental Solutions Ltd.
Central Incisor Horizontal Fracture at bone level
An extraction and immediate Implantation with Paltop Concave single unit abutment is an optimum solutionWith the aim of conserving adjacent Papillae and Developing Maximum Soft tissue for Later ManipulationA use of a standard abutment may result in diminished tissue and require consecutive tissue graft.
![Page 4: Central Incisor Horizontal Fracture at bone level · 2016. 2. 9. · 6 Advance Sental Solutions Ltd. Central Incisor Horizontal Fracture at bone level Bone grafting of buccal gap,](https://reader036.vdocuments.net/reader036/viewer/2022071104/5fde16f68280a73dd13a75ce/html5/thumbnails/4.jpg)
4 Advance Sental Solutions Ltd.
Central Incisor Horizontal Fracture at bone level
Surgical & Restorative Procedure:Coronal tooth part easily Removed, a Vertical Fracture is also Visible
![Page 5: Central Incisor Horizontal Fracture at bone level · 2016. 2. 9. · 6 Advance Sental Solutions Ltd. Central Incisor Horizontal Fracture at bone level Bone grafting of buccal gap,](https://reader036.vdocuments.net/reader036/viewer/2022071104/5fde16f68280a73dd13a75ce/html5/thumbnails/5.jpg)
5 Advance Sental Solutions Ltd.
Central Incisor Horizontal Fracture at bone level
An Atraumatic extraction preformed utilizing a Benex deviceRetaining complete papillae
Implant and Concave Trans-gingival part inserted
![Page 6: Central Incisor Horizontal Fracture at bone level · 2016. 2. 9. · 6 Advance Sental Solutions Ltd. Central Incisor Horizontal Fracture at bone level Bone grafting of buccal gap,](https://reader036.vdocuments.net/reader036/viewer/2022071104/5fde16f68280a73dd13a75ce/html5/thumbnails/6.jpg)
6 Advance Sental Solutions Ltd.
Central Incisor Horizontal Fracture at bone level
Bone grafting of buccal gap, Concave trans-gigival part already in place.Concave part can be either a healing abutment unit for non-loading procedure, which will help conserve papillae and maximize soft tissue for later Manipulation, Or an immediate concave Single Unit abutment for immediate loading.A single unit gives the advantage of non-removal trans-gigival part. Thus maximizing healing tissue and implant neck health.
![Page 7: Central Incisor Horizontal Fracture at bone level · 2016. 2. 9. · 6 Advance Sental Solutions Ltd. Central Incisor Horizontal Fracture at bone level Bone grafting of buccal gap,](https://reader036.vdocuments.net/reader036/viewer/2022071104/5fde16f68280a73dd13a75ce/html5/thumbnails/7.jpg)
7 Advance Sental Solutions Ltd.
Central Incisor Horizontal Fracture at bone level
Result of Provisionaliztion at the Day of Implantation
![Page 8: Central Incisor Horizontal Fracture at bone level · 2016. 2. 9. · 6 Advance Sental Solutions Ltd. Central Incisor Horizontal Fracture at bone level Bone grafting of buccal gap,](https://reader036.vdocuments.net/reader036/viewer/2022071104/5fde16f68280a73dd13a75ce/html5/thumbnails/8.jpg)
8 Advance Sental Solutions Ltd.
Central Incisor Horizontal Fracture at bone level
Result of Provisionaliztion at the Day of Implantation. Palatal View
Healing process after 3 months
![Page 9: Central Incisor Horizontal Fracture at bone level · 2016. 2. 9. · 6 Advance Sental Solutions Ltd. Central Incisor Horizontal Fracture at bone level Bone grafting of buccal gap,](https://reader036.vdocuments.net/reader036/viewer/2022071104/5fde16f68280a73dd13a75ce/html5/thumbnails/9.jpg)
9 Advance Sental Solutions Ltd.
Central Incisor Horizontal Fracture at bone level
Paltop Concave transfer registration will give a good copy of the implant position and soft tissue An excess of soft-tissue
Healing of Soft Tissue
![Page 10: Central Incisor Horizontal Fracture at bone level · 2016. 2. 9. · 6 Advance Sental Solutions Ltd. Central Incisor Horizontal Fracture at bone level Bone grafting of buccal gap,](https://reader036.vdocuments.net/reader036/viewer/2022071104/5fde16f68280a73dd13a75ce/html5/thumbnails/10.jpg)
10 Advance Sental Solutions Ltd.
Central Incisor Horizontal Fracture at bone level
3D Planned
3-D planning of screwed Zirconia abutment,
![Page 11: Central Incisor Horizontal Fracture at bone level · 2016. 2. 9. · 6 Advance Sental Solutions Ltd. Central Incisor Horizontal Fracture at bone level Bone grafting of buccal gap,](https://reader036.vdocuments.net/reader036/viewer/2022071104/5fde16f68280a73dd13a75ce/html5/thumbnails/11.jpg)
11 Advance Sental Solutions Ltd.
Central Incisor Horizontal Fracture at bone level
Zirconia CAD abutment and emax crown that will be pressed to it.Zirc-Press
![Page 12: Central Incisor Horizontal Fracture at bone level · 2016. 2. 9. · 6 Advance Sental Solutions Ltd. Central Incisor Horizontal Fracture at bone level Bone grafting of buccal gap,](https://reader036.vdocuments.net/reader036/viewer/2022071104/5fde16f68280a73dd13a75ce/html5/thumbnails/12.jpg)
12 Advance Sental Solutions Ltd.
Central Incisor Horizontal Fracture at bone level
Zi-Custom frame work try In
Zi-Custom frame work try In
![Page 13: Central Incisor Horizontal Fracture at bone level · 2016. 2. 9. · 6 Advance Sental Solutions Ltd. Central Incisor Horizontal Fracture at bone level Bone grafting of buccal gap,](https://reader036.vdocuments.net/reader036/viewer/2022071104/5fde16f68280a73dd13a75ce/html5/thumbnails/13.jpg)
13 Advance Sental Solutions Ltd.
Central Incisor Horizontal Fracture at bone level
Zirc-Pressed Emax CrownScrew Retained
Zirc-Pressed Emax CrownScrew Retained
Final Screwed Emax pressed to Zi crown
![Page 14: Central Incisor Horizontal Fracture at bone level · 2016. 2. 9. · 6 Advance Sental Solutions Ltd. Central Incisor Horizontal Fracture at bone level Bone grafting of buccal gap,](https://reader036.vdocuments.net/reader036/viewer/2022071104/5fde16f68280a73dd13a75ce/html5/thumbnails/14.jpg)
14 Advance Sental Solutions Ltd.
Central Incisor Horizontal Fracture at bone level
Final Crown
![Page 15: Central Incisor Horizontal Fracture at bone level · 2016. 2. 9. · 6 Advance Sental Solutions Ltd. Central Incisor Horizontal Fracture at bone level Bone grafting of buccal gap,](https://reader036.vdocuments.net/reader036/viewer/2022071104/5fde16f68280a73dd13a75ce/html5/thumbnails/15.jpg)
15 Advance Sental Solutions Ltd.
Central Incisor Horizontal Fracture at bone level
Final Crown