01/16/2025
Patient presented with a fractured and infected front tooth that requires extraction and replacement. Note the first video shows the tooth restored a temporary crown bonded to the adjacent teeth. Patient had initially a black triangle in between central incisors. Dr Mesmar explained to the patient the complexity of the treatment considering the triangular shape of the teeth, great length, significant size papilla with a contact point located at a distance greater than 5 mm from bone level. Such case is probe to have gingival recession and/or papilla retraction which is the very difficult to bring back. Dr Mesmar informed the patient of all likely scenarios with different apporaches to restore the tooth esthetically. An atraumatic extraction was performed with an immediate implant placed free hand with simple guidance of the adjacent teeth. Dr Mesmar was able to achieve great primary stability to perform immediate load with a fixed temporary crown. Proper emergence profil is crucial to promote thickening of the soft tissue while providing good support. Adequate and delicate suturing was performed in order to support the gingival tissue. Note the two weeks post op video showing good gingival response and the fantastic 3 months post op video showing thickening of gingival tissue and a more coronal position of the marginal tissue providing room for modeling without any soft tisshe grafting no flap management. When all critereas are met, the power of immediate implant and temporisation is greatly demonstrated. What would you have done differently if it was your case ? How would you manage a gingival recession if it had happened ? The patient is ready go return see his referring dentist to do the final crown. Surgery and pros done by Dr Mesmar. Bon jeudredi 🤓
