Immediate implantation and minimally invasive shaft-seal technique

MUDr. Vaclav Veselsky

  • Dr. Vaclav Veselsky completed his dental education at Charles University in Hradec Kralove, Czech Republic, establishing a strong foundation for his career in dentistry.
  • From 2008 to 2011, he honed his skills in the Department of Oral and Maxillofacial Surgery at the hospital in Zlin, gaining valuable experience in complex dental procedures.
  • Since 2011, Dr. Veselsky has been practicing at EDENT s.r.o., a private clinic in Zlin specializing in comprehensive dental care. This practice not only serves patients but also functions as an accredited center for advanced training in dental surgery and pediatric dentistry, allowing Dr. Veselsky to contribute to the education of future dental professionals.

 

Anamnesis

A 66-year-old patient sought treatment at our practice following an acute fracture of his intact upper right first premolar (tooth 14). The patient, in good general health, was not on any long-term medication and was a non-smoker. After careful assessment, we proposed an immediate implant placement using a minimally invasive Socket-Seal technique combined with the “poncho“ technique. The procedure began with a gentle extraction of the fractured tooth, taking care to preserve the integrity of the alveolar bone. We then placed a 10 mm long BioniQ Tapered implant with a 4 mm diameter in the space previously occupied by the right root. To support optimal healing and integration, we used LASAK‘s OssaBase-HA for augmentation around the implant site.

 

Clinical casebook

Initial X-ray findings prior to acute immediate implant placement in region 14 due to a MD tooth fracture.

 

The two-root tooth was carefully extracted. A 10 mm long, Ø 4 mm BioniQ implant was then inserted in the space of the former right root. The vestibular part was augmented using OssaBase-HA.

 

“Poncho technique“: Sealing Socket Abutment using the A-PRF membrane and STANDARD abutment.

 

Control image after implantation.

 

Situation after five months: after unscrewing the Sealing Socket Abutment, the soft tissues have healed very well, the emergence profile of the soft tissues looks exactly the same as with the original dental crown.

 

The implant stability after five months shows ISQ 78.

 

The beautifully shaped soft tissue around the Sealing Socket Abutment after 5 months (occlusal view).

 

The beautifully healed and shaped soft tissue around the Sealing Socket Abutment after five months from a vestibular view.

 

The final dental crown on the master model.

 

The final dental crown prepared for trial in the patient‘s mouth (side view).

 

The final crown placed in the patient‘s mouth in region 14.

 

 

Here you can download clinical casebook