This patient, a 35-year-old dentist, came to us with a fractured upper central incisor — one of the two most visible teeth in the smile. The tooth had been root canal treated in the past and had now broken down to the point where it couldn’t be saved.

Because it was a front tooth, both the result and the time without a tooth mattered a great deal. We planned an immediate implant: in a single sitting, the fractured tooth was carefully removed and a dental implant was placed into the same socket, so the patient never had to walk around with a visible gap. A temporary crown was fitted the same day to keep the smile intact while healing took place.

Over the next three months, the implant integrated with the bone to form a stable foundation. Once healing was complete, a permanent zirconia crown was placed — shaped, contoured and shade-matched for a natural, aesthetic result that blends seamlessly with the neighbouring front teeth.

For a patient who understands dentistry first-hand, the priority was precision and a front tooth that looks completely natural — which is exactly what this approach delivered.

Supporting details

• Treatment: Immediate dental implant (same-day extraction + placement) with same-day temporary crown, followed by a permanent zirconia crown
• Tooth: Upper central incisor (front tooth)
• Crown material: Zirconia (aesthetic)
• Healing phase: ~3 months before the permanent crown
• Why immediate: avoided a visible gap and preserved the natural gum shape around a front tooth