This clinical report describes and demonstrates the successful use of autogenous particulate bone, anorganic bone mineral and barrier membranes to reconstruct severe alveolar bone defect.
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 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 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.
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 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.
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 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 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.
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 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.