Dr. Gustavo Yatzkaier.
Patient (F, 48) referred for tooth extraction 44-48 and four immediate implants 44-45-46-47. The patient indicated her preference for a temporary aesthetic solution, but declined a removable partial denture.
Inspection of initial CT (Fig. 1) and consultation with her oral rehabilitation doctor indicated buccal plate deficiency, and the decision was made to perform a staggered treatment:
Stage 1: Extractions 44-48, placing 4 immediate implants 44-45-46-47.
For implants 45-46-47, immediate loading will be applied. Implant 44 will remain unexposed due to the need for a bone transplant. Rehabilitation with a temporary bridge on implants, including dental pontic 44. Temporary rehabilitation to be performed without buccal contact.
Stage 2: Exposing implant 44 after three months.