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 35-year-old male patient who lost teeth #11 and #21 FDI (#8 and #9 US). The treatment was based on the angulated screw channel (ASC) system and involved placement of two screw-retained single units and two Nobel Active Implants.
A 19-year-old female patient with multiple aplasias, substantial vertical overlap (overbite), and a medium-to-high smile line. She received Nobel Active 3.5 (13 mm) implants and simultaneous bone augmentation with a bone substitute on her lateral incisors.
A 32-year-old patient with missing central and lateral incisor presented significant loss of hard and soft tissues, and the midline deviated to the left. A Porcelain-fused-to-metal crown over implant with a GBR and a collagen membrane on #21 FDI (#9 US) was chosen.
A 33-year-old female patient came to the clinic with the desire to replace her missing teeth. The opposing teeth had moved into the gaps. The implants were placed by using a surgical guide. After completion of the orthodontic treatment, the final restorations were fabricated.
A 39-year-old male patient with large diastemas. The following case was solved by a combination of orthodontics and prosthodontics, along with tools used to predictably achieve the desired result.
A 55-year-old male patient desired replacement of a previously extracted, missing lower canine #43 FDI (#27 US) which had not been previously restored. The treatment option was the placement of an implant with horizontal and vertical bone augmentation.
A 29-year-old male patient presented himself after a traumatic injury with nonspecific pain in the maxillary front area. Tooth #11 FDI (#8 US) showed only little discomforting response to percussion. the patient opted for an implant-based prosthodontic restoration.
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 65-year-old female patient came for a complete-arch treatment. The aim was to re-position the old removable denture in its original position to be able to transfer it into a cement-retained provisional denture.
A 72-year-old female patient was affected by the poor fit of her existing mandibular complete denture, especially the constant movement while chewing. The final treatment included a new maxillary complete denture and a mandibular implant fixed complete denture.
A 22-year-old football player suffered from a traumatic injury which led to an avulsion of his maxillary left central incisor. The treatment selected was the placement of a single crown on tooth #11 FDI (#8 US) and a single implant to replace tooth #21 FDI (#9 US).
A 60-year-old male patient's chief complaint was that his bridges were loose. The treatment option was a 3-unit implant fixed partial denture and 3 single crowns on tooth abutments in the maxilla, and a conventional 6-unit fixed partial denture in the anterior mandible was chosen.
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 42-year-old male patient presented with a loose post and crown on the maxillary right central incisor. He wanted a better color and shape without dark gingiva.