Immediate implant placement is one of the most easily accepted treatment protocols due to decreased waiting period.If we plan a modified healing abutment to copy the existing architecture,we can deliver a final prosthesis which mimics the emergence profile of the extracted tooth .

1. Immediate implant placement
with modified healing abutment
Dr.K.Varsha Rao

2. • Treatment planned Immediate placement
implants in patient with broken premolar
• After discussing other restorative options with
the patient,she decided to go for implant
supported crown in 15 region
• SPI (3.75/11.5 )was placed with modified
healing abutment after atraumatic extraction

3. Preop

4. Stent with palatal bias for entry of
palatal drill

5. Periotome,luxator assisted atraumatic
extraction

6. Intact buccal bone

7. Implant in position for screw retained
prosthesis

8. Dual zone grafting with novabone
putty

9. Modified healing abutment with
composite