Extraction and dental implant replacement of canines require a unique approach and techniques due to their anatomy and generally thin bone and gum tissue, as well as being in the smile zone. This patient
Despite the seemingly thick bone surrounding this canine with external resorption, a very thin region of bone was noted on CBCT. The fragility of the buccal bone, if damaged, can alter the entire outcome, underscoring the need for caution and precision in the non-flap extraction technique. This technique, though not easy and quite tedious, is a testament to the importance of preserving bone and gum tissue, and setting the foundation for success during implant replacement.
A socket shield (partial extraction therapy) would be an excellent alternative technique for the extraction of this tooth.
The keys to our success:
- Team approach by an oral surgeon and a prosthodontist, each specialized in dental implants
- Non-invasive and gentle extraction
- Socket preservation bone graft
- Digitally-guided implant planning and placement by the surgeon
- Precisely positioned dental implant
- Meticulous attention to abutment and crown design by a masterful restorative dentist.