CAT# ULS-002
UNCUT! Live Surgery - Immediate Tooth Replacement with BLX Implant, Socket Xenograft, ‘Neck Pillow’ Soft Tissue Graft & Digital Workflow
Dr Sascha A Jovanovic
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In this comprehensive new surgical video, Dr. Sascha A. Jovanovic, Periodontist Master Clinician from Los Angeles, CA presents a full-length, fully narrated clinical case of an immediate tooth replacement of a maxillary central incisor in a healthy 40-year-old female. What makes this case particularly compelling is the adjacent lateral incisor implant, placed years earlier, which remains stable and esthetically successful—posing a unique clinical challenge and opportunity for precision esthetic integration.

The video documents each step of the treatment in meticulous detail, including:
• Diagnosis & Digital Planning: Integration of clinical findings and CBCT data to develop a precise virtual plan using a 3D-printed surgical guide.
• Atraumatic Extraction: Use of Mectron piezo surgery for minimally invasive removal of the failing central incisor.
• Guided Implant Surgery: Execution of a Straumann BLX 3.75 x 12 mm implant placement following a fully and partial guided drilling and implant placement protocol for esthetic zone accuracy
• Hard Tissue Grafting: Placement of Bio-Oss xenograft into the facial extraction socket gap to support the buccal bone contour.
• Soft Tissue Augmentation: Harvesting of a palatal “neck pillow” connective tissue graft and its placement into the facial soft tissue gap to reinforce gingival volume and prevent recession, secured with stabilizing sutures.
• Digital Workflow: Final steps include scan body placement for a bone-level digital impression, fabrication of a Ti-Base temporary, and a secondary scan for an abutment-level provisional on a SRA abutment.

This video serves as a masterclass in immediate implant placement in the esthetic zone, especially adjacent to a previously placed implant, combining surgical precision with advanced digital dentistry.
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