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