Immediate Extraction ,Cortical Implant Placement Infected Mandibular Molar Intraoral Welding скачать в хорошем качестве

Immediate Extraction ,Cortical Implant Placement Infected Mandibular Molar Intraoral Welding

Immediate Extraction of Non-Restorable Mandibular First Molar with Buccal and Lingual Cortical Implant Placement, Intraoral Welding, Digital Scan, and Immediate PMMA Prosthesis Case Summary Patient Profile: 45-year-old patient with a grossly infected, non-restorable mandibular first molar. Clinical Approach: Atraumatic extraction** was done using sectioning of the molar roots to preserve surrounding bone. Curettage performed to thoroughly remove infected granulation tissue and debride the socket. Two basal cortical implants were placed — one engaging buccal cortical bone, the other lingual cortical plate — ensuring high primary stability through bicortical anchorage. *Intraoral welding was done chairside to splint the implants immediately and enhance mechanical stability. A digital intraoral scan** captured the arch and implant positions accurately, enabling same-day prosthetic planning. A *PMMA (Polymethyl Methacrylate) temporary prosthesis* was fabricated and delivered **immediately**, restoring function and esthetics on the same day. Clinical Significance: Immediate implant placement and prosthesis even in an infected site Bicortical engagement enhances success in compromised posterior mandible Intraoral welding stabilizes implants, allowing for immediate loading PMMA prosthesis offers lightweight, durable, and esthetically acceptable immediate restoration Digital workflow improves turnaround and precision in prosthesis fabrication Outcome: The patient experienced instant relief from infection-related symptoms. The PMMA prosthesis restored chewing function and esthetics with high satisfaction. Final zirconia/metal-ceramic prosthesis planned after osseointegration and soft tissue healing.