Authors:

DAVID PEÑARROCHA
Adjunct professor of Oral Surgery and Implantology at the University of Valencia
JULIO ROJO
Master’s Degree in Oral Surgery and Implantology from the University of Valencia.

IMMEDIATE IMPLANT PLACEMENT IN UPPER CENTRAL INCISOR
This young patient with a gummy smile (excessive gingival display) was treated by the Department of the Master’s Degree in Oral Surgery and Implantology at the University of Valencia. Tooth 11 had a vertical fracture and had to be extracted. Following the extraction, an InHex standard implant (4.25 mm diameter and 13 mm length) was immediately placed in a palatal-oriented position. The gap was filled with a biomaterial, a connective-tissue graft was performed using an envelope technique and the socket was sealed with an epithelial-connective tissue graft. After 3 months, a temporary restoration was fitted which was used to model the soft tissue. The shape of the temporary was transferred to the permanent porcelain-fused-to-metal prosthesis.