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The patient came to our attention with an abscess to the element 3.6, with a severe periodontal damage of the fork and a fracture of the mesial root. Following antibiotic therapy, the element was extracted; after about three months the area was characterized by a strong vertical reabsorption and it was therefore decided place a Prama implant. In the present case the Prama implant was inserted leaving the hyperbolic neck out of the bone, thus moving away from it the implant-abutment interface and favoring the thickening of the connective tissue, for an excellent and stable aesthetic outcome over time.
“The choice of Prama in this situation was essential. Using a bone level implant with a traditional prosthetic protocol, in the same situation, I would probably have had further bone loss due to the formation of a sub-crestal biological space. The convergent intramucosal Prama implant in combination with the Prama IN healing abutment, characterized by a very wide profile and by a profile which embraces the implant neck by 0.5 mm, allowed me to avoid the use of GBR techniques, thus reducing the healing time and obtaining good clinical and prosthetic results.”