This is an 80 year old female with failing tooth #19.
Conservative flapless extraction was done.
Osseodensification (Versah) burs were used for creation of the implant osteotomy.
BioHorizons tapered internal Laser Lok implant 5.8 x 10.5 was placed nonsubmerged with an insertion torque of 50 Ncm.
Residual defects were grafted with MinerOss.
Soft tissue closure was accomplished with 3.0 PTFE sutures.
Implant abutment crown complex completed 1.5 year follow-up.
I have used Versah burs now for 3+ years with extraordinary results for immediate implant placement, crestal sinus grafting, ridge split application, and conventional implant placement. There is a learning curve but well worth the effort. I have incorporated this technology into all of my courses at the Institute.