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Patient cases

Complex treatment of the anterior zone combining implant and orthodontic therapy

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. 

Guided Surgery
Anterior implants
Immediate implant placement
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Patient cases

Multidisciplinary treatment of congenitally missing maxillary lateral incisors.

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.

Guided Surgery
CAD/CAM
Anterior implants
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Patient cases

Anterior single implant in the esthetic zone

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.

Guided Surgery
Anterior implants
Implants in compromised sites
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Patient cases

Multiple implant placement followed by orthodontic treatment to intrude the over-erupted teeth

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.
Guided Surgery
Posterior implants
Bone grafting and regeneration
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Patient cases

A novel approach for soft tissue management in the anterior region

A 33-year-old male patient's chief complaint was a missing lateral incisor which had been extracted several years earlier. A one-stage implant procedure simultaneous to connective tissue grafting and the use of a slim healing abutment was planned.

CAD/CAM
Anterior implants
Soft tissue management
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Patient cases

Implant placement and guided bone regeneration in the anterior area of the mandible

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.

Radiology
Guided Surgery
CAD/CAM
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Patient cases

Soft tissue management: single tooth rehabilitation

A 28-year-old female patient was referred by an endodontist. The root showed signs of resorption and a long-term survival was questionable. The tooth had to be removed and an immediate implant with an adjacent muco-gingival surgery was placed. 

Immediate implant placement
Anterior implants
Minimally invasive procedures
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Patient cases

Fully edentulous maxilla - a "different" treatment approach

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. 

Radiology
Guided Surgery
Edentulous treatments
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Patient cases

Immediate loading in the edentulous mandible for CAD/CAM prostheses

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. 

Radiology
Guided Surgery
CAD/CAM
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Patient cases

Single implant crown adjacent to metal-ceramic crowns

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.

Prosthetic strategies
Implant prosthetics
Single and multi-unit restorations
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Patient cases

Replacement of maxillary lateral incisor metal-ceramic crown with an all-ceramic crown

A 49-year-old female patient was unsatisfied with the high opacity of her right lateral incisor. The existing metal-ceramic crown was replaced by an IPS Empress all-ceramic crown. The crown was bonded with a resin cement.

Prosthetic strategies
Prosthetic materials
Single and multi-unit restorations
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Patient cases

Maxillary central incisor all-ceramic crown and ceramic abutment

A 51-year-old female patient with a maxillary central incisor loss after trauma. Patient desired optimal esthetic result.

Anterior implants
Prosthetic strategies
Prosthetic materials
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Patient cases

Fully edentulous mandible - a "different" treatment approach

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. 

Radiology
Digital workflow
Guided Surgery
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Patient cases

Fixed implant-supported rehabilitation of edentulous patient

A 75-year-old female patient with multiple medical conditions asking for dental implants to improve her masticatory function. As such, the All-on-4® treatment concept protocol for the mandible and later on a flapless implant surgery for the maxilla have been employed.

Radiology
Digital workflow
CAD/CAM
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Patient cases

Treatment of a failing maxillary dentition with an implant-supported restoration

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.

Radiology
Guided Surgery
CAD/CAM