https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16.html Dental caries under an existing restoration made the prognosis for tooth #14 hopeless. Dr. Green surgically extracted the tooth and grafted the socket with Straumann Bone Ceramic alloplast covered with a 3i Ossix membrane. After approximately six months, a Neoss 4.5 X 11.0 -mm implant was placed with a healing abutment as a single stage procedure. Despite a prolonged healing time after grafting, residual particles were still encountered at the coronal part of the extraction site. Provisional healing abutments of various width and height dimensions are now available. The patient returned three months after placement reporting bad taste and mobility. The healing abutment had come loose as depicted in photos and radiographs. The implant was stable, immobile and non rotational upon tightening of the healing abutment. Documentation of definitive restoration will be posted in the near future. https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16.html#0 2b6aff34-d0b2-4ebb-9061-558492bf0d49 https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16_files/Media/Huber007/thumb.jpg https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16_files/Media/Huber007/micro.jpg <div style="padding: 0px; " class="image_cluster_layout_style_default_External_0_0"><div class="image_cluster_layout_style_default"><p style="padding-bottom: 0pt; padding-top: 0pt; " class="Caption">Pre-treatment photo</p></div></div> https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16.html#1 0a0ef96e-57fe-4864-9c69-c6e55210e53f https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16_files/Media/Huber005/thumb.jpg https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16_files/Media/Huber005/micro.jpg <div style="padding: 0px; " class="image_cluster_layout_style_default_External_0_0"><div class="image_cluster_layout_style_default"><p style="padding-bottom: 0pt; padding-top: 0pt; " class="Caption">Pre-treatment palatal view</p></div></div> https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16.html#2 95a32d4d-e210-471b-8306-15a04bc96a17 https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16_files/Media/Huber011/thumb.jpg https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16_files/Media/Huber011/micro.jpg <div style="padding: 0px; " class="image_cluster_layout_style_default_External_0_0"><div class="image_cluster_layout_style_default"><p style="padding-bottom: 0pt; padding-top: 0pt; " class="Caption">Pre-treatment radiograph</p></div></div> https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16.html#3 8705a0a7-092c-4ea6-88ce-e3b25aef800b https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16_files/Media/Huber019/thumb.jpg https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16_files/Media/Huber019/micro.jpg <div style="padding: 0px; " class="image_cluster_layout_style_default_External_0_0"><div class="image_cluster_layout_style_default"><p style="padding-bottom: 0pt; padding-top: 0pt; " class="Caption">Alloplast extraction site graft material</p></div></div> https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16.html#4 564c2338-5888-4899-8023-ebef33497ed2 https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16_files/Media/Huber020/thumb.jpg https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16_files/Media/Huber020/micro.jpg <div style="padding: 0px; " class="image_cluster_layout_style_default_External_0_0"><div class="image_cluster_layout_style_default"><p style="padding-bottom: 0pt; padding-top: 0pt; " class="Caption">Collagen Barrier</p></div></div> https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16.html#5 f24f633e-4823-4e5a-9579-e309355341b7 https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16_files/Media/Huber0000/thumb.jpg https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16_files/Media/Huber0000/micro.jpg <div style="padding: 0px; " class="image_cluster_layout_style_default_External_0_0"><div class="image_cluster_layout_style_default"><p style="padding-bottom: 0pt; padding-top: 0pt; " class="Caption">Six months post extraction and graft</p></div></div> https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16.html#6 9700f7a9-8887-4692-a07f-d3d33f443dda https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16_files/Media/Huber0007/thumb.jpg https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16_files/Media/Huber0007/micro.jpg <div style="padding: 0px; " class="image_cluster_layout_style_default_External_0_0"><div class="image_cluster_layout_style_default"><p style="padding-bottom: 0pt; padding-top: 0pt; " class="Caption">Radiograph of site- note graft material remnants</p></div></div> https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16.html#7 16eacc92-c91b-477d-9df3-6dedbc8630c7 https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16_files/Media/Huber034/thumb.jpg https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16_files/Media/Huber034/micro.jpg <div style="padding: 0px; " class="image_cluster_layout_style_default_External_0_0"><div class="image_cluster_layout_style_default"><p style="padding-bottom: 0pt; padding-top: 0pt; " class="Caption">Neoss Surgical Kit</p></div></div> https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16.html#8 c8970767-b87e-4451-a9dc-053e19b4e190 https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16_files/Media/Huber0001/thumb.jpg https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16_files/Media/Huber0001/micro.jpg <div style="padding: 0px; " class="image_cluster_layout_style_default_External_0_0"><div class="image_cluster_layout_style_default"><p style="padding-bottom: 0pt; padding-top: 0pt; " class="Caption">Direction indicator/depth gauge</p></div></div> https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16.html#9 9ecea7b9-c76f-408f-a2f1-b8e62db904e8 https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16_files/Media/Huber0018/thumb.jpg https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16_files/Media/Huber0018/micro.jpg <div style="padding: 0px; " class="image_cluster_layout_style_default_External_0_0"><div class="image_cluster_layout_style_default"><p style="padding-bottom: 0pt; padding-top: 0pt; " class="Caption">Intraprocedural radiograph</p></div></div> https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16.html#10 30be8313-5487-4b92-9e6b-eb29e273d4e1 https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16_files/Media/Huber0003/thumb.jpg https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16_files/Media/Huber0003/micro.jpg <div style="padding: 0px; " class="image_cluster_layout_style_default_External_0_0"><div class="image_cluster_layout_style_default"><p style="padding-bottom: 0pt; padding-top: 0pt; " class="Caption">Implant placement</p></div></div> https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16.html#11 f378580a-ddb2-4914-97c2-0ef5895d3f1b https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16_files/Media/Huber032/thumb.jpg https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16_files/Media/Huber032/micro.jpg <div style="padding: 0px; " class="image_cluster_layout_style_default_External_0_0"><div class="image_cluster_layout_style_default"><p style="padding-bottom: 0pt; padding-top: 0pt; " class="Caption">dimensions</p></div></div> https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16.html#12 836b94e9-7a17-453e-8a61-68e4d7a9c0a6 https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16_files/Media/Huber0022/thumb.jpg https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16_files/Media/Huber0022/micro.jpg <div style="padding: 0px; " class="image_cluster_layout_style_default_External_0_0"><div class="image_cluster_layout_style_default"><p style="padding-bottom: 0pt; padding-top: 0pt; " class="Caption">Neoss 4.5 X 11-mm</p></div></div> https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16.html#13 4852232c-c365-44e3-8f95-e9e11de3529e https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16_files/Media/Huber0011/thumb.jpg https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16_files/Media/Huber0011/micro.jpg <div style="padding: 0px; " class="image_cluster_layout_style_default_External_0_0"><div class="image_cluster_layout_style_default"><p style="padding-bottom: 0pt; padding-top: 0pt; " class="Caption">Peek provisional healing abutment</p></div></div> https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16.html#14 63304203-2b1c-4f52-8eaf-1c136a236626 https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16_files/Media/Huber0012/thumb.jpg https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16_files/Media/Huber0012/micro.jpg <div style="padding: 0px; " class="image_cluster_layout_style_default_External_0_0"><div class="image_cluster_layout_style_default"><p style="padding-bottom: 0pt; padding-top: 0pt; " class="Caption">Flap closure</p></div></div> https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16.html#15 e669d233-5cb1-4225-9251-96d3dc3d3e94 https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16_files/Media/Huber033/thumb.jpg https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16_files/Media/Huber033/micro.jpg <div style="padding: 0px; " class="image_cluster_layout_style_default_External_0_0"><div class="image_cluster_layout_style_default"><p style="padding-bottom: 0pt; padding-top: 0pt; " class="Caption">Provisional abutment options</p></div></div> https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16.html#16 1cd7e4db-a3b5-488e-afac-703438785b51 https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16_files/Media/Huber035/thumb.jpg https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16_files/Media/Huber035/micro.jpg <div style="padding: 0px; " class="image_cluster_layout_style_default_External_0_0"><div class="image_cluster_layout_style_default"><p style="padding-bottom: 0pt; padding-top: 0pt; " class="Caption">Three month post-op- healing abutment loose</p></div></div> https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16.html#17 8d559e1b-12f6-4fb5-b188-685a85b78adc https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16_files/Media/Huber036/thumb.jpg https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16_files/Media/Huber036/micro.jpg <div style="padding: 0px; " class="image_cluster_layout_style_default_External_0_0"><div class="image_cluster_layout_style_default"><p style="padding-bottom: 0pt; padding-top: 0pt; " class="Caption">Palatal view</p></div></div> https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16.html#18 92fb0784-53f9-4012-afac-30f9de7c0336 https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16_files/Media/Huber038/thumb.jpg https://ksgreendmd.com/Kevan_S._Green,_DMD/Implant_Case_-_16_files/Media/Huber038/micro.jpg <div style="padding: 0px; " class="image_cluster_layout_style_default_External_0_0"><div class="image_cluster_layout_style_default"><p style="padding-bottom: 0pt; padding-top: 0pt; " class="Caption">Radiograph- note healing abutment is loose</p></div></div>