case_images: PMC7542513_01
case_images: Atraumatic dental extraction.
case_images: IJD2020-8869046.001.jpg
case_images: PMC7542513_01_IJD2020-8869046.001.jpg
case_images: fig1
case_images: She also presented Miller's Grade 3 mobility and root carious lesions in teeth 33 and 43 (Figure 1).
case_images: Fresh postextraction sockets.
case_images: IJD2020-8869046.002.jpg
case_images: PMC7542513_01_IJD2020-8869046.002.jpg
case_images: fig2
case_images: Syndesmotomy was then performed with the help of straight drills (Hu-Friedy) (Figure 2).
case_images: Fresh postextraction sockets.
case_images: IJD2020-8869046.003.jpg
case_images: PMC7542513_01_IJD2020-8869046.003.jpg
case_images: fig3
case_images: Due to the presence of multiple bone spicules, the crestal bone was then reshaped with the help of HM251SX tungsten carbide surgical drills and a low-speed micromotor with abundant saline solution to avoid necrotizing bone tissue (Figure 3).
case_images: Crestal bone remodeling.
case_images: IJD2020-8869046.004.jpg
case_images: PMC7542513_01_IJD2020-8869046.004.jpg
case_images: fig4
case_images: Drilling was started with the lance, Titamax 2.0 drill, 2/3 pilot drill, Titamax 3.15 drill, 3/3.75 pilot drill, and finally with a countersink II 3.8 drill (Figures 4-7).
case_images: Adaptation of the surgical guide prior to the placement of dental implants.
case_images: IJD2020-8869046.005.jpg
case_images: PMC7542513_01_IJD2020-8869046.005.jpg
case_images: fig5
case_images: Drilling was started with the lance, Titamax 2.0 drill, 2/3 pilot drill, Titamax 3.15 drill, 3/3.75 pilot drill, and finally with a countersink II 3.8 drill (Figures 4-7).
case_images: Test of parallelism of dental implants.
case_images: IJD2020-8869046.006.jpg
case_images: PMC7542513_01_IJD2020-8869046.006.jpg
case_images: fig6
case_images: Drilling was started with the lance, Titamax 2.0 drill, 2/3 pilot drill, Titamax 3.15 drill, 3/3.75 pilot drill, and finally with a countersink II 3.8 drill (Figures 4-7).
case_images: Postextraction implant placement.
case_images: IJD2020-8869046.007.jpg
case_images: PMC7542513_01_IJD2020-8869046.007.jpg
case_images: fig7
case_images: Drilling was started with the lance, Titamax 2.0 drill, 2/3 pilot drill, Titamax 3.15 drill, 3/3.75 pilot drill, and finally with a countersink II 3.8 drill (Figures 4-7).
case_images: Infectious process with rupture of the suture material.
case_images: IJD2020-8869046.008.jpg
case_images: PMC7542513_01_IJD2020-8869046.008.jpg
case_images: fig8
case_images: Traces of food were evident with a purulent exudate at the crestal bone level (Figure 8).
case_images: Surgical cleaning of the implant area.
case_images: IJD2020-8869046.009.jpg
case_images: PMC7542513_01_IJD2020-8869046.009.jpg
case_images: fig9
case_images: Clinical management included clindamycin 600 mg/4 ml (Dalacin ) every 24 hours for 4 days plus dexamethasone 4 mg/2 mg (Fortecortin ) every 12 hours for 3 days (Figure 9).
case_images: Control radiograph at 30 days.
case_images: IJD2020-8869046.010.jpg
case_images: PMC7542513_01_IJD2020-8869046.010.jpg
case_images: fig10
case_images: Follow-up panoramic radiography (Figure 10) showed fresh alveoli healing favorably.
case_images: Tissue stabilization at 6 months.
case_images: IJD2020-8869046.011.jpg
case_images: PMC7542513_01_IJD2020-8869046.011.jpg
case_images: fig11
case_images: Finally, after 6 months of follow-up, the healing abutments were placed with correct adaptation of soft tissues allowing preparation of the hybrid prosthesis (Figure 11).