Abstract

Immediate implant placement can become very challenging after a trauma, especially in a young patient. By use of proper 3D planning and guided implant placement it is possible to achieve predictable results.

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A trauma on the front teeth can have severe consequences, especially for this young patient. After the accident, the dentist at the emergency diagnosed a subluxation of tooth 11, but failed to splint the damaged root. The patient consulted her private dentist, who suggested the tooth is failing and recommended a consult with the implant surgeon and prosthodontist. Unfortunately, the tooth became very loose at the consult in my practice. The prognosis of splinting the tooth, performing an endodontic treatment had a doubtful outcome, after which the patient opted for an extraction and implant placement.