Patient Profile: Patient is a 66-year old male presented with a fractured symptomatic upper left first premolar. The dentist had assessed the patient remotely using teleconferencing during the Covid 19 lockdown. He asked the patient thereafter to attend for a dental x-ray given the severity of his symptoms. A vertical fracture was confirmed and the patient was referred for dental extraction. 

Chief Complaint: “Pain on releasing my teeth after biting together and kept awake at night with toothache”

Dental History: Regular dental attender with previous dental implant treatment.

Medical History: No relevant medical history. His blood pressure was recorded at 145/77 mm/hg

Extraoral Examination:

• Assessment reported all within normal limits.

Supplemental Information:

• The upper left first premolar requires extraction during this covid-19 lockdown
• The tooth was extracted under local anaesthesia without complication. 
• Air Purification system was operational and all the appropriate PPE was available. 
• Patient wants a dental implant and as only emergency treatment is allowed at present a collagen implant was placed in the socket to maintain bone levels. 
• The Nobel Biocare Collagen block with a bilayer of Xeno-protect collagen was used. 
• The dental implant will be placed at the back of 2020 when the Covid-19 situation has improved.