case_images: PMC3714832_01
case_images: Mucoperiosteal flap reflected to expose the fractured root canal treated tooth. Note the gutta percha filling material protruding outside
case_images: DRJ-10-98-g001.jpg
case_images: PMC3714832_01_DRJ-10-98-g001.jpg
case_images: F1
case_images: This mucoperiosteal flap was reflected and the fractured tooth exposed sufficient enough to facilitate atraumatic and careful extraction [Figure 1].
case_images: Space present at the palatal and proximal surfaces of the implant in the cervical aspect
case_images: DRJ-10-98-g002.jpg
case_images: PMC3714832_01_DRJ-10-98-g002.jpg
case_images: F2
case_images: However, a small amount of space was present at the palatal and proximal surfaces of the implant in the cervical aspect [Figure 2].
case_images: Cylindrical autogenous block bone harvested from mandibular symphysis region using round trephine bur
case_images: DRJ-10-98-g003.jpg
case_images: PMC3714832_01_DRJ-10-98-g003.jpg
case_images: F3
case_images: An 11 mm diameter cylindrical autogenous block bone was harvested using a round trephine bur [Figure 3].
case_images: Bone chips packed around the palatal and proximal surfaces of the implant
case_images: DRJ-10-98-g004.jpg
case_images: PMC3714832_01_DRJ-10-98-g004.jpg
case_images: F4
case_images: The bone chips were carefully packed around the palatal and proximal aspects of the implant [Figure 4].
case_images: A bio-resorbable collagen membrane adapted over the implant site
case_images: DRJ-10-98-g005.jpg
case_images: PMC3714832_01_DRJ-10-98-g005.jpg
case_images: F5
case_images: A bio-resorbable collagen membrane (Healiguide, Advanced Biotech Products, Chennai, India) was adapted over the implant site to establish complete coverage and protection of the implant and bone graft material [Figure 5].
case_images: Six months post-operative intraoral clinical view of the implant surgical site
case_images: DRJ-10-98-g006.jpg
case_images: PMC3714832_01_DRJ-10-98-g006.jpg
case_images: F6
case_images: Six months post-operatively, the recipient and donor surgical sites exhibited excellent wound healing with adequate amount of interdental papilla present at the recipient site around the implant fixture [Figure 6].
case_images: Post-operative clinical photograph after prosthesis placement
case_images: DRJ-10-98-g007.jpg
case_images: PMC3714832_01_DRJ-10-98-g007.jpg
case_images: F7
case_images: A second phase surgery was performed to uncover the implant, and the final fixed prosthesis involving two separate crowns were delivered in relation to both the maxillary central incisors [Figure 7].