1st Magicore for Immediate Implant

The nervous patient refuses extraction of the tooth #1 initially; the initial osteotomy at #2 is going to be adjusted (Fig.1).  Following 4.3 mm Magic Drill (MD), a 4.5x11(1) mm IBS Magicore is placed with >55 Ncm with placement of a 4.5x3 mm solid abutment (Fig.2).  In fact the buccal margin of the Magicore is subcrestal.  After unwinding the magicore for 3 turns, the buccal bone is removed, similar to crown lengthening (Fig.3).  The bone harvested from MD is placed prior to cementation of an immediate provisional.  The purpose of the latter is to prevent the soft tissue to cover the margin of the Magicore.  The interarch clearance is obtained from reduction of the opposing teeth (#31 and 32).  The patient returns for postop follow-up 2.5 months (Fig.4).  The provisional is relined with the margin trimmed.  There is apparently no bone loss 5 months postop (immediately post cementation), although it is difficult to remove residual cement (Fig.5 >).

Return to Upper Molar Immediate Implant, Prevent Molar Periimplantitis (Protocols, Table), Magicore Cases 3

Xin Wei, DDS, PhD, MS 1st edition 08/21/2017, last revision 10/14/2020