Many factors can be related to apical root resoption and roundening, ranging from orthodontic movement to oclusal trauma. In severe cases the tooth can even become mobile. In normal situations, a fractured tooth above the gingival margin can be restored with convertional dentistry with the use of intra radicular post and prosthetic crown. However, in cases where the root length is no longer optimal to be used as retentive element for an intra radicular post, alternative options must be planned, which can go from removable partial prosthesis, a fixed three-unit bridge or dental implants.
One of the main benefits of an implant that is placed and provisionalized immediately, it’s the potential in aesthetic outcome preserving the existing bone morphology and gingival architecture. To enable this type of treatment, adequate primary stability is a prerequisite and the choice of implant design is directly linked to the expected outcome. Straumann® BLX implants combine all properties to match the all clinical situations from the surgical to the restorative perspective.
A 53-year-old female patient presented to the office with a fractured left central incisor tooth which had been repeatedly bonded to a ceramic crown (Figs. 1,2). After anamneses and examination it’s recorded good systemic and oral health condition with well balanced occlusion and no smoking habits. Cone-Beam Computed Tomography (CBCT) and peri-apical x-ray showed external root resorption with very small insertion in the alveolar bone not allowing adequate conventional intra radicular post (Figs. 3,4). Considering the fractured tooth was in a esthetic zone, the patient requested to be restored in the safest and fastest way possible.