Clinical Case: “Immediate replacement of fractured lateral incisor with Noris Tuff” | Surgery by Michael Katzap, DDS
Clinical Case: “Immediate replacement of fractured lateral incisor with Noris Tuff”
Surgery by Michael Katzap, DDS
An emergency patient today. The plan was PET ( partial extraction therapy) implant and immediate temp. A pilot drill was inserted into the osteotomy for Verification X-ray. The patient reported he felt the sensor move so a bit harder to catch it thus fracturing the pilot in the palatal aspect of the socket. Change of plans: retrieve the drill segment and try to still place an implant.
I only flapped the palate for better visualization
Careful use or piezo around the pilot hole ( the bur was inside it several mm). Piezo allows conserving bone and where it is used it helps control bleeding as well thus permits better visualization.
Drill segment removed and Noris Tuff 4.2x10mm placed. The thread design of the Tuff permitted solid placement into a socket that was not prepared in the traditional sense. The implant was driven into the osteotomy that was created by the piezo. Augma’s Bond Apatite bone graft cement was added.
