The patient successfully completed the initial treatment stages: the implant is integrating without complications, and the temporary restoration protects the tissues while maintaining aesthetics.
Dental surgeon specialized in oral and dentoalveolar surgery, 17 years of experience
Alexandra came in for a consultation with the clinic’s surgeon to find the best dental restoration solution. The doctor performed a thorough clinical examination, photo documentation, CT scan, and X-rays for a full assessment.
In addition to the clear aesthetic and functional issues, the doctor noticed that the adjacent teeth were under excessive chewing load, increasing the risk of damage. Since the patient had sufficient bone tissue and no contraindications for implantation, the doctor advised not to delay the treatment.
A personalized treatment plan was created, which included immediate implantation and ceramic crown prosthetics.
Consultation and Diagnosis
- Extraction of tooth 21
- Immediate implantation in the site of the extracted tooth
- Extrusion of the lateral incisor to improve aesthetics and positioning
- Placement of a temporary restoration to regain chewing function and aesthetics
- Prosthetic restoration with ceramic crowns:
- First crown supported by the implant
- Second crown supported by the natural tooth
During the same session, the doctor applied a special orthodontic device—a custom-made upper arch tray—that served several essential purposes:
- Protected the implant and surrounding tissues during healing, ensuring proper osseointegration and distributing chewing forces evenly.
- Restored the aesthetic of the smile, allowing Alexandra to smile confidently without hesitation.
- Acted as support for the extrusion (repositioning) of the lateral incisor, helping align it correctly.
Extrusion of the lateral incisor
Over the course of 4 months, Alexandra attended regular check-ups. The doctors monitored the integration of the implant and assessed the height of the lateral teeth to ensure they were sufficient for the future crown placement.
Four months after the implantation, the doctor approved proceeding with prosthetics and referred Alexandra to the prosthodontist. Impressions were taken, permanent ceramic crowns were fabricated, and placed a week later. The crowns perfectly matched the natural teeth in both color and shape, with detailed microtexture, offering a natural and harmonious look.
Placement of Ceramic Crowns
Extraction of the frontal incisor and immediate implantation
The surgeon gently extracted the damaged tooth while preserving as much bone as possible. Immediately afterward, the dental implant was placed, followed by the attachment of a healing abutment and suturing to ensure optimal healing.
Attending Doctor’s Comment
Attending Doctor’s Comment
Dental surgeon specialized in oral and dentoalveolar surgery, 17 years of experience
The result was excellent—natural and refined. The smile looks flawless. I’m glad the patient can now smile with confidence and without hesitation!