Immediate replacement of a primary canine with an implant

Patient presented to our clinic for removal of a long standing primary upper right canine (#53) and to be replaced with a dental implant. Clinically, the tooth to be extracted presents with class 3 mobility. 

Patient is a mild smoker (<10 cig/day) without any other contributing factors in the medical history.

We proceeded with the extraction of the primary tooth. The socket was thoroughly derided and difinfected with diamond burs and rinsing with a mixture of TTC solution and saline. 

A Legacy3 3.7x11 implant was immediately placed following the appropriate position within the existent socket.  A high insertion torque was obtained. An impression was taken and a 2 stage protocol was utilized due to the smoking habit of the patient. 

Uncovery of the implant was performed 3 months later.  A temporary crown was placed at this time in order to guide soft tissue profile during healing. 

1 month later, a final screw retained crown was placed by the GP. 

At 1 year post-implant placement, soft and hard tissues seem favorable. However, patient's interproximal oral hygiene was fair and thus mild gingival inflammation is evident on the mesial papillae. 

Oral hygiene was reinforced and an appropiate maintenance schedule was discussed with the patient to ensure gingival health around the implant.