IMPLANTS IN ESTHETIC REGION (WHAT CAN BE DONE)?

Dear colleagues,
Mr. X entered our clinic with a history of trauma in the region of 11 and 12.The following was observed:

Intra oral examination :

Soft tissue examination: laceration was evident in the region of 11 .

On clinical examination mobility was noted with the crown structure of 11 and 12.

Radiographic examination:

CBCT was done, fracture at the CEJ was noted.

ESTHETIC RISK ASSESEMENT was performed.

Treatment done so far:
1.Extraction of crowns
2.Pulp extirpation
3. Sealing of roots
4.Conective Graft obtained
5.Graft sutured
6. RPD fabrication

Patients desires a Fixed restoration.

What would you suggest amongst the following probable plans?

1. Extraction of 11 , immediate implant placement and a cantilevered restoration (tooth 12 left buried in situ to maintain hard and soft tissue profile)

2. Extraction of both teeth and immediate implants and immediate provisonalisation followed by definitive restoration.

3. Use of socket shield technique to insert implants in 11 and 12 regions followed by definitive restoration

4.Extraction of both teeth and implant placement using a delayed protocol(type 2 or type 3)

24.08.2016, 19:16