case_images: PMC7647738_01
case_images: Image of the roots before the treatment.
case_images: CRID2020-8891772.001.jpg
case_images: PMC7647738_01_CRID2020-8891772.001.jpg
case_images: fig1
case_images: A 50-year-old man was referred to us having a decemented bridge from 1.2 to 2.2, with inadequate ferrule and metal posts in each root (1.1 and 2.2), both fractured (Figures 1 and 2).
case_images: Periapical X-rays of the 4 incisive roots.
case_images: CRID2020-8891772.002.jpg
case_images: PMC7647738_01_CRID2020-8891772.002.jpg
case_images: fig2
case_images: A 50-year-old man was referred to us having a decemented bridge from 1.2 to 2.2, with inadequate ferrule and metal posts in each root (1.1 and 2.2), both fractured (Figures 1 and 2).
case_images: Intraoperative image of the root shield's preparation after extraction.
case_images: CRID2020-8891772.003.jpg
case_images: PMC7647738_01_CRID2020-8891772.003.jpg
case_images: fig3
case_images: The socket shield technique was performed on central incisors and pontic shield on lateral incisors (Figure 3) in order to minimize resorption and reshaping of the bone crest in implants and pontics.
case_images: Intraoperative image of the implants placed, not being in contact with the buccal surface of the roots.
case_images: CRID2020-8891772.004.jpg
case_images: PMC7647738_01_CRID2020-8891772.004.jpg
case_images: fig4
case_images: Haemostatic collagen sponges were placed both in 1.2 and in 2.2, and immediate implant placement was performed in 1.1 and 2.1 (Figures 4 and 5).
case_images: Postoperative periapical X-ray, taken immediately after implant placement.
case_images: CRID2020-8891772.005.jpg
case_images: PMC7647738_01_CRID2020-8891772.005.jpg
case_images: fig5
case_images: Haemostatic collagen sponges were placed both in 1.2 and in 2.2, and immediate implant placement was performed in 1.1 and 2.1 (Figures 4 and 5).
case_images: One-week follow-up.
case_images: CRID2020-8891772.006.jpg
case_images: PMC7647738_01_CRID2020-8891772.006.jpg
case_images: fig6
case_images: After one week, healing was proper (Figure 6).
case_images: Three-month follow-up, after implant placement.
case_images: CRID2020-8891772.007.jpg
case_images: PMC7647738_01_CRID2020-8891772.007.jpg
case_images: fig7
case_images: Three months after, the osseointegration of the implants was corrected (Figure 7), but teeth 1.1 had a superficial exposure of the shield (Figure 8), which was reshaped with the high-speed handpiece using a diamond bur, without needing anesthesia.
case_images: Shield exposure on 1.1 implant.
case_images: CRID2020-8891772.008.jpg
case_images: PMC7647738_01_CRID2020-8891772.008.jpg
case_images: fig8
case_images: Three months after, the osseointegration of the implants was corrected (Figure 7), but teeth 1.1 had a superficial exposure of the shield (Figure 8), which was reshaped with the high-speed handpiece using a diamond bur, without needing anesthesia.
case_images: One-month follow-up, after high-speed handpiece reshaping of the shield exposure on 2.1.
case_images: CRID2020-8891772.009.jpg
case_images: PMC7647738_01_CRID2020-8891772.009.jpg
case_images: fig9
case_images: After one more month, the clinical appearance was corrected (Figure 9) and a partial fixed denture was screwed at 30 N/cm to the implant (Figures 10 and 11).
case_images: Final bridge delivery.
case_images: CRID2020-8891772.010.jpg
case_images: PMC7647738_01_CRID2020-8891772.010.jpg
case_images: fig10
case_images: After one more month, the clinical appearance was corrected (Figure 9) and a partial fixed denture was screwed at 30 N/cm to the implant (Figures 10 and 11).
case_images: Control X-ray after bridge placing.
case_images: CRID2020-8891772.011.jpg
case_images: PMC7647738_01_CRID2020-8891772.011.jpg
case_images: fig11
case_images: After one more month, the clinical appearance was corrected (Figure 9) and a partial fixed denture was screwed at 30 N/cm to the implant (Figures 10 and 11).
case_images: Clinical lateral vision. A good maintenance of the buccal thickness is seen.
case_images: CRID2020-8891772.012.jpg
case_images: PMC7647738_01_CRID2020-8891772.012.jpg
case_images: fig12
case_images: Good maintenance of buccal volume and natural appearance is seen (Figure 12).