Prama RF implant in site 1.4 immediately provisionalized through the adaptation of the metal-ceramic crown of the extracted tooth
Dr. Guillermo Cabanes Gumbau, DT Violeta Alapont Asensio, Vila Real, Spain
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A 60-year-old male patient, with no previous medical records, arrived at the clinic with a root fracture of the element 1.4 which supported a metal-ceramic crown. The patient expressed the need for a fast, natural and as aesthetic rehabilitation.
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“The versatility offered by Prama RF implant, allowing to manage the prosthesis on its large coronal convergent portion of 2.8 mm and without the restriction of having to limit the closure to predefined margins, greatly facilitates the clinical procedure for defining the prosthetic emergence, with morphology and depth studied ad hoc for each clinical case depending on the depth of insertion of the implant and the situation of the soft tissues at the time of the rehabilitation.”
cit. Dr. Guillermo Cabanes Gumbau
Initial clinical situation.
Radiographic situation.
Extraction of the root and recovery of the metal-ceramic crown which will be used as a temporary restoration.
Filling the socket with PRF and healing at 40 days.
Pre-operative CT.
Pre-operative CT.
Pre-operative CT.
Surgical phases for the delayed flapless insertion of a Prama RF 4.25x13 mm implant with adequate primary stability to proceed with an immediate temporarization.
Insertion of the implant using the Easy Insert driver, which guarantees the preservation of the implant connection.
Insertion of the implant using the Easy Insert driver, which guarantees the preservation of the implant connection. GO TO THE VIDEO
Insertion of the implant using the Easy Insert driver, which guarantees the preservation of the implant connection.
Positioning of a post with retentive notches and occlusal perforation of the old metal-ceramic crown to access to the prosthetic screw.
The crown is filled with self-curing resin with the application of a thin layer of cyanoacrylate to improve its adhesion to the inner metal of the crown. Then the crown is placed on the post with the access to the screw protected by compacted Teflon.
The crown is filled with self-curing resin with the application of a thin layer of cyanoacrylate to improve its adhesion to the inner metal of the crown. Then the crown is placed on the post with the access to the screw protected by compacted Teflon.
Unscrewing of the crown, which incorporates the post inside. The crown is relined using a light-curing composite flow limited apically by an o-ring.
Unscrewing of the crown, which incorporates the post inside. The crown is relined using a light-curing composite flow limited apically by an o-ring.
Unscrewing of the crown, which incorporates the post inside. The crown is relined using a light-curing composite flow limited apically by an o-ring.
Unscrewing of the crown, which incorporates the post inside. The crown is relined using a light-curing composite flow limited apically by an o-ring.
Unscrewing of the crown, which incorporates the post inside. The crown is relined using a light-curing composite flow limited apically by an o-ring.
Unscrewing of the crown, which incorporates the post inside. The crown is relined using a light-curing composite flow limited apically by an o-ring.
The temporary crown, finished and polished, is tightened in place, radiographic checking the correct fit and the adequate emergence profile.
Intraoral aspect of the temporary crown fastened after 50 days from the surgery.
Definitive cemented crown at 2 months.