The document discusses treatment planning and options for an implant in the aesthetic zone including immediate implant placement with socket preservation, bone grafting, and use of a partial denture. A CBCT scan was used in planning and a tissue roll flap was done, with the second stage occurring after 9 months of osseointegration. A zirconium screw-retained crown was placed on the implant with a new abutment screw and proper torque.

1. Implant in aesthetic zone
Early delayed .
• bone graft .
• tissue graft.
• scan body.
• Dr. Absi DDS

2. What was the best
course of action???
Root canal or an Implant?

3. Immediate implant planed
.Autraumatic exrtaction and
socket preservation . CBCT

4. Planning for early delayed implant insertion
and bone graft. Partial D.

5. Planning in the virtual world

6. Dental
floss was
used for
guidness.B
one graft
was used .

7. Xray was done at
day zero . Patient
was given the
instructions .
Partial denture was
delivered . Waiting
for
osseiointegration.

8. Immediate
or
delayed?
To load or
not to
load?

9. Palatal roll flap .
Second stage

10. Tissue is a main
factor for
implant
success.
Second stage
was after 9
months .

11. Scan was done using scan
body . Screw retained ti
baze abutment was ordered
.

12. A
ZIRCONIOUM SCREW
RETAINED

13. Always use new screw and
remember the torque
required for each implant
Day zero

14. Don’t forget to check the
occlusion . Thank you !
Happy patient!
Dr.Absi DDS