case_images: PMC3134053_01
case_images: Pre-operative
case_images: JISP-15-70-g001.jpg
case_images: PMC3134053_01_JISP-15-70-g001.jpg
case_images: F1
case_images: On clinical examination it was noted that the patient had a missing mandibular right first molar (tooth number 46) [Figure 1].
case_images: Pre-operative radiograph
case_images: JISP-15-70-g002.jpg
case_images: PMC3134053_01_JISP-15-70-g002.jpg
case_images: F2
case_images: It was decided to place a 5.3 diameter, 13 mm long implant [Figure 2]. The main trunk and the mental foramen were located in the area between the apices of the two premolars [Figure 2].
case_images: Accessory mental nerve and foramen along with the buccal dehiscence on the implant
case_images: JISP-15-70-g003.jpg
case_images: PMC3134053_01_JISP-15-70-g003.jpg
case_images: F3
case_images: The foramen and the fiber were identified as accessory mental foramen and nerve [Figure 3].
case_images: Dehiscence covered with titanium mesh and bio-oss
case_images: JISP-15-70-g004.jpg
case_images: PMC3134053_01_JISP-15-70-g004.jpg
case_images: F4
case_images: The exposed threads were covered with bovine anorganic bone [Bio-oss, Geistlich Pharma AG, Wolhusen, Switzerland] and stabilized with a titanium mesh screen [Synthes, CO, USA], of 1.0-mm sized pores which was contoured to the defect [Figure 4] During grafting, care was taken so that the nerve fiber was not traumatized.
case_images: Immediate post implant placement radiograph
case_images: JISP-15-70-g005.jpg
case_images: PMC3134053_01_JISP-15-70-g005.jpg
case_images: F5
case_images: A radiograph was made to assess the placement of implant in relation to the inferior alveolar canal [Figure 5].
case_images: Final restoration
case_images: JISP-15-70-g006.jpg
case_images: PMC3134053_01_JISP-15-70-g006.jpg
case_images: F6
case_images: The final restoration was cemented [Figures 6 and 7] and the patient was put on a follow-up care. The patient is being currently followed up since the past two years.
case_images: Radiograph of the final restoration
case_images: JISP-15-70-g007.jpg
case_images: PMC3134053_01_JISP-15-70-g007.jpg
case_images: F7
case_images: The final restoration was cemented [Figures 6 and 7] and the patient was put on a follow-up care. The patient is being currently followed up since the past two years.