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

Final Restoration