Immediate Loading in the Aesthetic Zone

The patient is a healthy 56 year old male. He presented with teeth #11 (8) and #21 (9) root canaled, with bone resorption and fistulas. The patient complained that he was in pain and was very dissatisfied with the aesthetics. 

Treatment planning included a first stage tooth extraction with immediate implant placement, bone grafting with Augma Bond Apatite® and immediate provisional crown loading.

In a second stage composite augmentation of the adjacent teeth was performed, and impressions were taken for the final two crowns.

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