Tooth #11 required extraction and immediate replacement.
Following flapless extraction, a 3.6mm x 13.0mm implant was placed with an insertion torque value of 20 Ncm.
ISQ was recorded with a score of 66 with the Osstell device.
The procedure was performed with a Dermal Apron Technique.
The temporary restoration was out of occlusal contact with the antagonist, mandibular teeth and the patient was instructed to avoid function for 6 weeks in this area.
At 10 weeks, the provisional crown was removed for follow-up ISQ measurements.
The second value was ISQ of 73.
This increase demonstrated enhanced secondary stability or osseointegration.
The crown was restored and has been in function for over 4 years without complications.
Initial ISQ of 66 at time of immediate placement
Immediate temporization via Dermal Apron Technique
Follow up ISQ at ten weeks of 73