Implant placement due to root fracture of a non-vital tooth

A 53-year-old woman with good overall health presented at the clinic with the chief complaint that tooth #22 (FDI) / #10 (US), which was endodontically treated and discolored, was esthetically unpleasing. The tooth was hopeless due to root fracture.

A treatment plan was formulated to replace the non-vital tooth with an implant. First, the upper left lateral incisor was extracted and a socket preservation was conducted. The site was provisionalized with a Maryland bridge on the same day of treatment. Five months later, the 3D CT Scan revealed insuficient bone volume for implant placement; therefore, a guided bone regeneration procedure was planned simultaneous to implant placement. Six months after healing, an implant impression was taken and a screw-retained temporary crown was installed. The following 6 months, the patient came in monthly for recall visits in order to improve soft tissue support and emergence profile. Finally, a screw-retained zirconia crown was installed.

Surgical and prosthetic procedures were carried out with no complications. At the three year follow-up visit, the patient was very pleased with the final aesthetic and functional result.