Case Presentation: 
The patient presented with two upper central incisors restored with failing porcelain-fused-to-metal (PFM) crowns that had become loose and debonded. The underlying abutment teeth showed dental caries (decay). The patient sought treatment for this condition. Treatment Plan:

For teeth 11 and 21, the failed crowns were to be removed and the teeth minimally invasively extracted, followed by immediate implant placement into the sockets. Temporary crowns were then bonded for the interim restoration. Definitive porcelain crowns were to be delivered after 3 months.

 

Advantages of the Treatment Plan:
Immediate implant placement following extraction preserves the contour of the gingiva and alveolar bone, preventing the common alveolar ridge collapse that occurs during post-extraction healing. After implant placement, provisional crowns were fitted as a transitional restoration to avoid social embarrassment during the healing period. Nobel Biocare implants offer excellent biocompatibility and deliver outstanding long-term results. At the 14-year follow-up, the dental implants remain stable with healthy periodontal tissues.