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Michail Raptopoulos

Alexandroupolis, Greece

Clinical case description:

Tooth #11 (right upper central incisor) with MC crown. Apicectomy technique was applied before fifteen years.

Case: Tooth #11 had a III degree movement and its extraction was planned. The tooth was extracted and in the same time an implant conical 3.75x11mm was placed. A 2mm single unit was, also, screwed on the implant. After that, a full thickness flap was elevated and Geistlich Bio-Oss® 0.5mm xenograft was placed on the apicectomy area and around the implant. The bonegraft was covered with Geistlich Bio-Gide® membrane, the flap was sututred and a temporary crown was made. Three months later final impressions were taken and a screwed single crown was made

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<p>Initial photo of #11 with III degree movement</p>

Initial photo of #11 with III degree movement

<p>The tooth was extracted with concomitamt placement of a PALTOP implant and use of Geistlich Bio-Oss on the apicectomy area and around the implant.  The graft was covered with Geistlich Bio-Gide</p>

The tooth was extracted with concomitamt placement of a PALTOP implant and use of Geistlich Bio-Oss on the apicectomy area and around the implant. The graft was covered with Geistlich Bio-Gide

<p>Three months later final impressions were taken and a screwed single crown was made</p>

Three months later final impressions were taken and a screwed single crown was made

<p>6-months follow-up</p>

6-months follow-up

Pre-surgery


							<p>Initial photo of #11 with III degree movement</p>

Surgery


							<p>The tooth was extracted with concomitamt placement of a PALTOP implant and use of Geistlich Bio-Oss on the apicectomy area and around the implant.  The graft was covered with Geistlich Bio-Gide</p>

Outcome


							<p>Three months later final impressions were taken and a screwed single crown was made</p>

Follow-up after at least 6 months


							<p>6-months follow-up</p>