Broken tip of the pilot drill was removed with root stem.

2. • Case characteristic
 Tooth no. 46 with retained root stump in
a healed extraction socket was to be
removed using atraumatic procedure

3. • Case characteristic
 Broken instrument tip
noticed during
osteotomy in between
the retained root stump
and alveolar bone

4. • Case characteristic
 Implant
placement
during the same
appointment in
the desired
position

5. • Introduction
 A 27 year old healthy
and jovial female with
no significant medical
history reported with
the desire to replace
missing tooth in tooth
no. 46 region for the
purpose of chewing

6. • Introduction
• Interocclussal distance
– 15 mm
• Mesio-distally
 – 8.2 mm
• Buco-lingually
 – 6.5 mm

7. • Radiograph

8. • Radiograph

9. • Treatment planning

10. • Treatment planning

11. • Incision and reflection

12. • Osteotomy

13. • Complication

14. • Removal of Root tip and broken
instrument tip

15. • Root stump extracted

16. • Implant placement

17. • Bone graft and sutures placed

18. • Final Implant position

19. Thank you