Fractured Incisor – Immediate Implant and Provisional Featured case of May 5, 2016May 5, 2016 Oral Surgery Blake Winokur DMD Manhattan Dental Studio 3,430 views Introduction to the case Pt. presented w/ #8 class 3 mobility, horizontal fx. below crest of bone. Treatment included exo, immediate placement w/ graft, provisional using existing tooth screw retained out of occlusion. horizontal fx. below crest troughed root, immediate placement Legacy 2 w/ >40n/cm2 torque, around 4mm apical to gingival margin height (looks deeper) reamed out clinical crown for provisional bonded clinical crown to cylinder and shaped emergence screw access on lingual, would have liked more to lingual may not be able to make screw retained final restoration final provisional implant w/ cortical/cancellous particulate graft and provisional 3 month post op tissue healed nicely, still bone graft material that hasn’t resorbed custom impression coping using bite reg around implant analogue w/ temp in place continued… continued custom impression coping in mouth.. final xray, graft still not resorbed, will eventually. final crown, pt. really preferred diastema after all of this, no one will ever see the tissue!