This gentleman we referred to me for a failing post crown. The post had fractured the root but not as yet through and through so that there was no infection of the labial plate. This is now an ideal time to do an immediate extraction using periotomes and immediate placement and provisionalisation.

This is not immediate loading. Immediate loading is only for full arches or large groups of implants and not for single tooth. Because this tooth was in the anterior aesthetic zone it was decided to do some initial ortho to bring down the gingival margin by 1mm so that when the tooth was extracted and there would be the immediate loss of up to 1mm of bone at the crest of the gingival margin the gingival margins of both anteriors would be in the same plane. In order to stop over eruption of the lower teeth , they were temporarily splinted.