A long-term patient walked into my office on a Monday afternoon a little frantic because she broke off #12 at the gumline. She wanted an implant as soon as possible.
Normally, I would extract the tooth and bone graft with a non-resorbable membrane. However, the weekend before I was at the OsteoReady 2-Day Mini-Residency in Ashland, Oregon and learned how to place an immediate implant with great primary stability. (Side note: I thought I was fast at dentistry, but Dr. Brady Frank's speed and accuracy blew my mind!) So, I took my newfound knowledge from Dr. Frank, and with all the confidence in the world told the patient, "Absolutely. We can do an implant for you today."
I numbed the patient with 10 percent lidocaine, 10 percent prilocaine and 4 percent tetracaine. Then I injected Citanest® Plain both in the MSA and palate around #12, and followed up with Septocaine®. I waited three minutes for the patient to get numb and then extracted the tooth with Mesial and Distal Proximators™ to preserve the bone, which took two minutes.
Next, I made a 2.0 mm pilot hole palatally; followed-up with a 3.7 mm Multi-Drill™ and then drove home a 5.0 mm x 13.0 mm OsteoConverter™ implant with over 90 Newtons of torque. This took another two minutes and 35 seconds. (We timed the whole procedure so we could track how we should schedule these types of cases.)
I packed some basal bone in the buccal, placed a cover screw and called it good. I advised the patient to take 600 mg of Motrin® and 250 mg of acetaminophen. I called her the next day and she was in no pain.
I fell in love with this technique and posted the case on Facebook asking people if they knew of anyone who would benefit from such an implant. Immediately, I got six other implant cases from that post.
Thank you, Dr. Frank and the OsteoReady team.
Tooth #12 broken off at the gumline
2.0 mm pilot drill – checking angulation
5.0 mm x 13.0 mm OsteoConverter™ placed
Cover screw placed for healing