case_images: PMC9705096_01
case_images: The virtual planning in the specialist software.
case_images: CRID2022-8188905.001.jpg
case_images: PMC9705096_01_CRID2022-8188905.001.jpg
case_images: fig1
case_images: Inc., Montreal, QC, Canada) digital planning software was used (Figure 1). In this software, the CBCT scan exported in DICOM format (Orthophos SL, Densply Sirona, Bensheim, Germany) was overlapped with the .STL file obtained from patient intraoral scanning with the 3Shape TRIOS 3 scanner (3Shape, Copenhagen, Denmark; Figures 2 and 3).
case_images: The planning phases overlapped: intraoral starting point:.STL scan of starting position:tooth #11 virtual extraction.
case_images: CRID2022-8188905.002.jpg
case_images: PMC9705096_01_CRID2022-8188905.002.jpg
case_images: fig2
case_images: Inc., Montreal, QC, Canada) digital planning software was used (Figure 1). In this software, the CBCT scan exported in DICOM format (Orthophos SL, Densply Sirona, Bensheim, Germany) was overlapped with the .STL file obtained from patient intraoral scanning with the 3Shape TRIOS 3 scanner (3Shape, Copenhagen, Denmark; Figures 2 and 3).
case_images: Virtual implant placement planning:superimposition of future implant and the root.
case_images: CRID2022-8188905.003.jpg
case_images: PMC9705096_01_CRID2022-8188905.003.jpg
case_images: fig3
case_images: Inc., Montreal, QC, Canada) digital planning software was used (Figure 1). In this software, the CBCT scan exported in DICOM format (Orthophos SL, Densply Sirona, Bensheim, Germany) was overlapped with the .STL file obtained from patient intraoral scanning with the 3Shape TRIOS 3 scanner (3Shape, Copenhagen, Denmark; Figures 2 and 3).
case_images: Surgical implant stent digital planning.
case_images: CRID2022-8188905.004.jpg
case_images: PMC9705096_01_CRID2022-8188905.004.jpg
case_images: fig4
case_images: Surgical stent adjusted for Straumann BLX SLActive RB implant 4.0 length 14 mm (Straumann Group, Basel, Switzerland) was 3D printed following the virtual design (Figure 4).
case_images: The old crown removal and root preparation/sectioning.
case_images: CRID2022-8188905.005.jpg
case_images: PMC9705096_01_CRID2022-8188905.005.jpg
case_images: fig5
case_images: The buccal root "shield" in place after sectioning.
case_images: CRID2022-8188905.006.jpg
case_images: PMC9705096_01_CRID2022-8188905.006.jpg
case_images: fig6
case_images: This resulted in a part of the former root in the area of the buccal bony socket, which was thinned out to a thickness of 2 mm using a round diamond bur (NTI) under sterile saline cooling (Figure 6).
case_images: The surgical stent-drill guide fixed in place.
case_images: CRID2022-8188905.007.jpg
case_images: PMC9705096_01_CRID2022-8188905.007.jpg
case_images: fig7
case_images: BLX full guided surgery (Figures 7 and 8). Before the implant was inserted, a buccal root was smeared with Emdogain gel (Straumann Group) to prevent epithelial proliferation and bacterial colonization, and a microgap was filled with xenograft bone substitute (Straumann Xenograft 0.5 g, Straumann Group; Figure 9).
case_images: The occlusal view through stent.
case_images: CRID2022-8188905.008.jpg
case_images: PMC9705096_01_CRID2022-8188905.008.jpg
case_images: fig8
case_images: BLX full guided surgery (Figures 7 and 8). Before the implant was inserted, a buccal root was smeared with Emdogain gel (Straumann Group) to prevent epithelial proliferation and bacterial colonization, and a microgap was filled with xenograft bone substitute (Straumann Xenograft 0.5 g, Straumann Group; Figure 9).
case_images: The implant in place:socket shield can be observed buccally along with some xenograft material.
case_images: CRID2022-8188905.009.jpg
case_images: PMC9705096_01_CRID2022-8188905.009.jpg
case_images: fig9
case_images: BLX full guided surgery (Figures 7 and 8). Before the implant was inserted, a buccal root was smeared with Emdogain gel (Straumann Group) to prevent epithelial proliferation and bacterial colonization, and a microgap was filled with xenograft bone substitute (Straumann Xenograft 0.5 g, Straumann Group; Figure 9).
case_images: The temporary crown on the 3D printed lab model.
case_images: CRID2022-8188905.010.jpg
case_images: PMC9705096_01_CRID2022-8188905.010.jpg
case_images: fig10
case_images: Temporary crown was fitted, and mesial papilla was repositioned with 5-0 monofilament suture (Prolene, Ethicon, Johnson & Johnson, Somerville, NJ, USA; Figures 10 and 11).
case_images: Immediate post-operative with fitted immediate crown and CBCT.
case_images: CRID2022-8188905.011.jpg
case_images: PMC9705096_01_CRID2022-8188905.011.jpg
case_images: fig11
case_images: Temporary crown was fitted, and mesial papilla was repositioned with 5-0 monofilament suture (Prolene, Ethicon, Johnson & Johnson, Somerville, NJ, USA; Figures 10 and 11).
case_images: The final restoration in place with control CBCT after 2 years post-operative.
case_images: CRID2022-8188905.012.jpg
case_images: PMC9705096_01_CRID2022-8188905.012.jpg
case_images: fig12
case_images: Celtra Ceram, Dentsply Sirona, Charlotte, NC, USA). Crown has been cemented on the implant abutment (RB Variobase  for Crown AS) with the self-adhesive composite cement (Multilink  Hybrid Abutment, Ivoclar Vivadent; Figures 12 and 13).
case_images: The occlusal view on the tooth #11 and the soft tissue adaptation to the final restoration.
case_images: CRID2022-8188905.013.jpg
case_images: PMC9705096_01_CRID2022-8188905.013.jpg
case_images: fig13
case_images: Celtra Ceram, Dentsply Sirona, Charlotte, NC, USA). Crown has been cemented on the implant abutment (RB Variobase  for Crown AS) with the self-adhesive composite cement (Multilink  Hybrid Abutment, Ivoclar Vivadent; Figures 12 and 13).