The patient came at our observation reporting swelling and sensation of mobility of the element 2.5, such as to avoid the correct hygiene of the area. The element was treated 10 years earlier.
Radiological examination showed a vertical root fracture. The vestibular probing was very deep, while mesially and distally it was almost zero, therefore it was decided to elevate a full thickness flap and to extract the tooth. Once the flap was opened, the lesion appeared very extensive, especially periapically, where the radicular pin had fractured the root. After the extraction of the element, it was decided to perform regenerative therapy based on a combination of autologous bone and deproteinized bovine bone mineral (DBBM), added with amoxicillin, covered by a resorbable Ossix™ Plus membrane. After 7 months, the flap was open again to place a Prama RF, submerged up to the cylindrical portion of the convergent neck, and a temporary crown was immediately positioned. The temporary prosthesis was obtained by using a pre-made crown prepared by the laboratory, relined with resin.
At 3 months it was possible to proceed with the final prosthesis, with its margin closing on the neck of the implant, which aesthetically finalized the case as planned. At 3 years the hard and soft tissues were stable and perfectly healthy.
Radiological examination showed a vertical root fracture. The vestibular probing was very deep, while mesially and distally it was almost zero, therefore it was decided to elevate a full thickness flap and to extract the tooth. Once the flap was opened, the lesion appeared very extensive, especially periapically, where the radicular pin had fractured the root. After the extraction of the element, it was decided to perform regenerative therapy based on a combination of autologous bone and deproteinized bovine bone mineral (DBBM), added with amoxicillin, covered by a resorbable Ossix™ Plus membrane. After 7 months, the flap was open again to place a Prama RF, submerged up to the cylindrical portion of the convergent neck, and a temporary crown was immediately positioned. The temporary prosthesis was obtained by using a pre-made crown prepared by the laboratory, relined with resin.
At 3 months it was possible to proceed with the final prosthesis, with its margin closing on the neck of the implant, which aesthetically finalized the case as planned. At 3 years the hard and soft tissues were stable and perfectly healthy.