Duration: 9 minutes, 27 seconds

Author: Dr. Egon Euwe

Extraction of Fractured Maxillary Premolar Treated with Implant Placement and Simultaneous Bone Graft Membrane Placement and Immediate Temporization


In this article, we will discuss a case study of a fractured maxillary premolar tooth that was treated using implant placement and simultaneous bone graft membrane placement. The procedure also involved immediate temporization, providing the patient with a temporary tooth while the implant heals and integrates into the jawbone.

Proper Diagnosis and Treatment Planning

A critical aspect of managing fractured teeth is a proper diagnosis and treatment planning. Dentists must assess the extent of the fracture and consider various factors such as the patient’s oral health, bone density, and occlusion before determining the appropriate treatment approach.

Fractured Maxillary Premolar

In the specific case discussed in this article, the patient presented with a fractured maxillary premolar tooth. The fracture extended subgingivally, compromising the stability of the tooth and necessitating its extraction.

Implant Placement

Implant placement offers a reliable and successful solution for replacing missing teeth. In this case, after the extraction of the fractured premolar, an implant was placed in the extracted socket.

Simultaneous Bone Graft Membrane Placement

To enhance bone regeneration and provide support for the implant, a bone graft membrane was placed simultaneously with the implant. The membrane acts as a barrier, preventing soft tissue infiltration into the graft and allowing undisturbed bone formation.

Immediate Temporization

One unique aspect of this case is the immediate temporization technique employed during the same procedure. Immediate temporization involves the placement of a temporary tooth or crown, allowing the patient to maintain aesthetics and function throughout the healing process.

Benefits of Immediate Temporization

Immediate temporization offers numerous advantages. It provides psychological comfort to the patient by avoiding a visibly missing tooth. Additionally, it helps maintain the patient’s occlusion and prevents shifting of adjacent teeth, preserving the overall dental alignment.

Selection of Suitable Temporary Material

When opting for immediate temporization, it is crucial to select a temporary material that provides sufficient strength and aesthetics. The temporary crown or bridge should be properly contoured to ensure minimal impact on the soft tissues and gum healing.

Successful Outcome and Viability

The case study presented in this article demonstrates a successful outcome in the treatment of a fractured maxillary premolar using implant placement, simultaneous bone graft membrane placement, and immediate temporization. The patient experienced minimal discomfort and achieved a functional and aesthetically pleasing result. This combination of procedures proves to be a viable treatment option for similar cases.

Importance of Research and Long-term Follow-up

While this treatment approach shows promising results, it is essential to conduct further research and maintain long-term follow-up to evaluate the stability and success of the procedure. Continuously monitoring the integration of the implant, bone regeneration, and overall oral health will provide valuable insights for future advancements in this field.


The extraction of a fractured maxillary premolar and subsequent treatment with implant placement and simultaneous bone graft membrane placement, accompanied by immediate temporization, offers an effective and aesthetically pleasing solution. Proper diagnosis, treatment planning, and long-term follow-up are crucial for the success and viability of this procedure.

FAQs (Frequently Asked Questions)

1. How long does the healing process take after implant placement?

The healing process after implant placement varies for each individual but typically takes around 3-6 months.

2. Can anyone undergo immediate temporization after tooth extraction?

The eligibility for immediate temporization depends on various factors such as the quality and quantity of existing bone, the patient’s oral hygiene, and their overall health. The dentist will evaluate these factors before deciding if immediate temporization is suitable for the patient.

3. Is simultaneous bone graft membrane placement necessary during implant placement?

Simultaneous bone graft membrane placement is not always necessary but can be beneficial in cases where bone regeneration and support for the implant are required. It enhances the success rate and long-term stability of the implant.

4. Are there any risks or complications associated with this treatment approach?

As with any dental procedure, there can be risks and complications, such as infection, implant failure, or bone graft rejection. However, with proper diagnosis, treatment planning, and regular follow-up, these risks can be minimized.

5. Can the temporary tooth placed during immediate temporization be replaced with a permanent crown later?

Yes, once the implant has fully integrated into the jawbone and the surrounding tissues have healed, the temporary tooth can be replaced with a permanent crown that matches the patient’s natural teeth.

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