In this patient case, Dr Fabbri shows the complex treatment of the esthetic zone with a combined treatment of implant therapy, using the guided pilot drill approach, and orthodontic treatment. 

A 37-year-old female patient presented with 5mm periodontal pocket in right central incisor with moderate periodontal inflammation. After CBCT scan was discovered external root resorption in the buccal aspect which condemned this element.

A 26-year-old female patient is treated following the "MeteenDoor"- protocol. This Dutch protocol includes the placement of a bone substitute simultaneously with Immediate Implant Placement and Provisionalization (IIPP) reducing the horizontal buccal bone changes.

A 62-year-old male patient with a long history of periodontitis which resulted in extensive gingival recessions compromising the aesthetics. The treatment plan involved a combination of implant-and tooth-supported restorations.

A 67-year-old male patient with the lateral incisor who had to be extracted due to a transverse fracture right below the crown. The patient opted for a delayed implant placement with immediate provisionalization.

A 47-year-old female patient referred by her periodontist who was not satisfied with her gingival health. Metal-ceramic crowns with ceramic margins on the natural teeth along with placement of a custom abutment and cementation of a metal-ceramic crown on the implant were chosen.

A 50-year-old female patient with a strong fear of the dentist. A full-mouth rehabilitation of the maxilla with implants using a surgical guide was performed.

This patient is a young patient asking for dental implants to replace her hopeless maxillary central incisors. The patient's chief complaint was the increased mobility of her maxillary central incisors. She has a history of traumatic injury to the central incisors. 

A 21-year-old female patient presented with a fractured anterior incisor #11 FDI (#8 US). Pre-operative 3D-CT showed an intact buccal bone plate. The incisor had to be extracted, an immediate implant and an immediate provisional restoration were placed the same day.

A 63-year-old female patient's chief complaint was the severe impact on function and chewing following extensive periodontal breakdown associated with significant mobility of numerous teeth. A full mouth rehabilitation over implants was the option selected.

A 54-year-old male patient presented for rehabilitation of an extended maxillary edentulous space. The patient was rehabilitated without any grafting by using artificial pink gingiva and implants with bone expansion properties. 

A 54-year-old female patient presented with 2 implant failures as well as a bone graft failure. As a result of an apical surgery, an amalgam tattoo was evident on the buccal aspect. The compromised pink aesthetics, as well as prosthodontic discrepancies, were evident.