Case Study 01

Immediate Implant Placement with Provisionalization

Advanced resorption of the root of tooth number 8 resulted in significant mobility and discoloration. The tooth was removed and treated with immediate implant placement and provisionalization using the Cuff Links System.
Procedure

Treatment Overview

Preoperative photos and x-rays of tooth #8
Preoperative photos and x-rays of tooth #8
Preoperative photos and x-rays of tooth #8
Bone grafting of the surgical site

Placement of a subepithelial connective tissue graft
Shade correction after 3 weeks using flowable composite veneer

Photo Gallery

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Resorption of tooth number 8 root requiring removal.
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Pink hue of tooth number 8. Notice the high smile line.
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Socket of tooth number 8.
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Implant placed into the area of tooth number 8.
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Seated Cuff Links healing cuff.
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Cuff Links healing cuff seated with the buccal “T” handle and palatal guide handle removed.
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Fabrication of the provisional crown using the Cuff Links system.
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Provisional crown prior to seating.
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Implant placed. Evaluation of the gingival biotype revealing it to be thin.
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Try-in of the provisional crown prior to gingival grafting.
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Packing of bone graft surround the provisional crown prior to gingival grafting.
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Harvested connective tissue graft.
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Placement of the connective tissue graft.
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Connective tissue graft and provisional crown seated.
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Post operative PA x-ray of the implant and provisional crown.
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Healing of the surgical site at four weeks. The shade of the provisional was changed with flowable composite to allow for a better color match.
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Soft tissue healing at four months. Notice the enhanced buccal soft tissue thickness.
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Radiograph verifying the bone healing at four months.
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Healing at four months.
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Patients lips at rest showing the esthetics of the provisional restoration.