case_images: PMC11707788_01
case_images: Panoramic radiograph showing the absence of the upper left central incisor with well-healed alveolar bone levels, setting the stage for implant placement.
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case_images: A panoramic radiograph indicated that the alveolar bone levels were within normal limits, and the extraction site demonstrated complete bone healing (Figure 1).
case_images: Clinical photographs and panoramic radiograph of the upper left central incisor implant placement: (a) papilla preservation flap with labially exposed implant threads; (b) xenograft bone augmentation at the labial concavity; (c) labial view of implant position; (d) occlusal view of implant position; (e) panoramic radiograph showing the implant placement.
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case_images: The site was sutured with 4-0 Vicryl (Ethicon Inc., Johnson & Johnson Company, Somerville, NJ, USA), and the implant position was confirmed with a panoramic radiograph (Figure 2).
case_images: Final placement of the implant-supported crown: (a) position of the casting abutment; (b) permanent crown fixation on the implant; (c) patient's smile line; (d) periapical radiograph post crown fixation, showing excellent alignment, natural coloration, and harmonious gingival contour with adjacent teeth.
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case_images: The crown was then cemented using permanent cement, and occlusion was checked to ensure light force with no shear forces during lateral or protrusive movements to avoid excessive loading on the crown (Figure 3).
case_images: Clinical photographs and periapical radiograph at the 3-month follow-up of the upper left central incisor implant: (a) the implant-supported crown showing natural alignment and color with well-integrated gingival contours; (b) patient's smile line; (c) periapical radiograph showing no bone loss around the implant.
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case_images: Radiographic evaluation showed no bone loss around the implant (Figure 4).