40 year old male immediate implant #30

Implant Workup:

PMH: 

Healthy

Smoker: No

Diabetic: No

Periodontal Disease: No

Radiation/Bisphophonate use: No

Restorative Plan:

Single fixed

fixed bridge

Implant supported overdenture

Fixed Hybrid

Hard tissue:

Vertical: 14 mm from ridge to IAN

Horizontal: 8 mm ridge width

Interdental space: sufficient molar width 

Active infection: No

Grafting: socket preservation, gap grafting, veneer graft, guided bone regeneration

Soft Tissue: 

Biotype: Thick

Keratinized tissue: 3 mm on buccal, stable

Recession: no

Grafting: subepithelial CTgraft, free gingival graft, rotational flap, none

Smile Line: High,  Low,  N/A

Treatment Plan

Two Stage

Single Stage

Immediate

Implant: #30 BioMet 5.0x 11.5mm standard platform

Narrative: Because of the short retained roots and absence of active periodical infection, it makes sense to do an immediate implant at this site.  There is little benefit to grafting when remaining bone after extraction is sufficient to provide primary stability. The remaining gap on the mesial and distal of the implant was grafted with BioOss cancellous particles covered by a  collagen membrane and closed with 4.0 silk.