REPLACEMENT OF A FRACTURED UPPER PREMOLAR WITH CONE-IN 3P IMPLANT WITH IMMEDIATE LOADING IN COMBINATION WITH SOCKET SHIELD FLY TECHNIQUE

Extraction of the compromised tooth leads to alveolar bone resorption followed by the collapse of the tissue volume, especially in the esthetic region.

The “Socket Shield Fly” technique involves the use of a part, buccal or palatal, of the extracted root carefully prepared extraorally and re-implanted in its original alveolus.

This technique aims to preserve the buccal alveolar bone and mucogingival tissues. Thanks to the placement of an immediate load post-extraction implant  (3P-implafavourite) and the use of a conical abutment CONO-MORSE (2 degrees), we obtain a weld-cold. Only in this way we will achieve total abacterial closure in the abutment implant connection, in the sub-crestal area.
The provisional, in fact, closes the clot and the root shield inside the alveolus in a hermetic way, thus favoring tissue healing.

In this case, the patient presented a crown fracture of tooth 2.4.
The compromised element was extracted and replaced with an immediate load 3P implant, Cono-MORSE. Immediately after, the buccal portion of the root was re-implanted to keep the volumes. A digitally planned resin temporary crown on conical TI BASE abutment CONO MORSE seals hermetically the clot and the root.
First follow up at six months was carried out using the screw extractor through the conical abutment, by breaking the connection. The abutment was removed, and it was possible to estimate the healing of tissue around the implant.